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Deficiency Records for Blue Lake Post Acute
View the most recent health deficiencies and inspection results for Blue Lake Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Blue Lake Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate foot care. | Health | 2025-12-11 | 2026-01-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-04-08 | 2025-04-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-04-08 | 2025-04-28 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2025-04-08 | 2025-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-08 | 2025-04-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-08 | 2025-04-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-08 | 2025-04-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-18 | 2024-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-18 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-07-18 | 2024-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-08-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-18 | 2024-08-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-18 | 2024-08-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-07-18 | 2024-08-18 | 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 | 2024-07-18 | 2024-08-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-18 | 2024-08-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-07-18 | 2024-08-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-18 | 2024-08-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-18 | 2024-08-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-18 | 2024-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-18 | 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 | 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 |