Deficiency Records for The Lodge Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for The Lodge Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-16 | 2023-12-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2023-12-29 | 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 | 2023-11-16 | 2023-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2023-12-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-15 | 2023-12-29 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-11-15 | 2023-12-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-15 | 2023-12-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-06-06 | Y |
| 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 | 2023-05-10 | 2023-06-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-25 | 2022-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-25 | 2022-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-25 | 2022-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-25 | 2022-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-25 | 2022-07-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-27 | 2021-09-03 | Y |
| Report COVID19 data to residents and families. | Health | 2021-07-27 | 2021-09-03 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-07-27 | 2021-09-03 | Y |
| 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 | 2021-04-23 | 2021-06-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-18 | 2021-02-08 | 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 | 2020-12-18 | 2021-02-08 | 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 | 2020-12-18 | 2021-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-18 | 2021-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-16 | 2021-02-08 | N |
