A list of the most recent deficiencies for Lakewood Villa. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-25 | 2024-02-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-25 | 2024-02-19 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-08 | 2023-10-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-08 | 2023-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-08 | 2023-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-08 | 2023-10-03 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-08 | 2023-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-08 | 2023-10-03 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-17 | 2023-08-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-17 | 2023-08-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-17 | 2023-08-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-07-17 | 2023-08-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-07-17 | 2023-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-17 | 2023-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-17 | 2023-08-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-22 | 2023-03-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-25 | 2019-12-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-31 | 2019-12-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-25 | 2019-12-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-25 | 2019-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-25 | 2019-11-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-25 | 2019-11-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-31 | 2019-11-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-31 | 2019-11-15 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-10-31 | 2019-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-30 | 2018-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-30 | 2018-11-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-10-30 | 2018-11-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-30 | 2018-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-30 | 2018-11-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-10-30 | 2018-11-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-10-30 | 2018-11-05 | N |
