A list of the most recent deficiencies for Ahc of Lakewood, LLC. 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? |
|---|---|---|---|---|
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-01-18 | 2024-03-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-18 | 2024-03-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-18 | 2024-03-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-18 | 2024-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-18 | 2024-03-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-18 | 2024-02-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-18 | 2024-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-18 | 2024-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-18 | 2024-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-01-18 | 2024-01-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-21 | 2024-01-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-21 | 2024-01-02 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-21 | 2023-12-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-21 | 2023-12-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-21 | 2023-12-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-12-21 | 2023-12-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-21 | 2023-12-22 | N |
