A list of the most recent deficiencies for Lakeside Oaks Care Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-12-07 | 2023-01-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-07 | 2023-01-07 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-07 | 2023-01-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-22 | 2022-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-22 | 2022-03-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-22 | 2022-03-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-22 | 2022-01-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-22 | 2022-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-22 | 2022-01-21 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-22 | 2022-01-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-22 | 2022-01-21 | 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 | 2021-12-22 | 2022-01-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-21 | 2022-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-13 | 2020-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-06-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-12 | 2020-06-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-12 | 2020-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-12 | 2019-01-12 | 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 | 2018-12-12 | 2019-01-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-12-12 | 2019-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-12 | 2019-01-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-12 | 2019-01-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-12-11 | 2019-01-12 | N |
| Meet other general requirements. | Fire Safety | 2018-12-11 | 2019-01-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-11 | 2019-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-11 | 2019-01-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-11 | 2019-01-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-11 | 2019-01-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-11 | 2019-01-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-11 | 2019-01-12 | N |
