A list of the most recent deficiencies for Blue Lake Post Acute. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-13 | 2023-05-05 | Y |
| 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 | 2022-08-18 | 2022-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-24 | 2022-03-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-02-24 | 2022-03-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-02-24 | 2022-03-25 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-02-24 | 2022-03-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-24 | 2022-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-24 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-24 | 2022-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-24 | 2022-03-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-24 | 2022-03-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-08-27 | 2021-09-25 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-08-27 | 2021-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-26 | 2021-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-26 | 2021-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-01 | 2021-06-14 | Y |
