Deficiency Records for Blue Lake Post Acute
Updated as of August 01, 2018
This is not the most recent data for Blue Lake Post Acute. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-05-03 | 2018-06-03 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-05-03 | 2018-06-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-03 | 2018-06-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-03 | 2018-06-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-03 | 2018-06-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-03 | 2018-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-03 | 2018-06-03 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2018-05-03 | 2018-06-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-03 | 2018-06-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-03 | 2018-06-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-03 | 2018-06-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-05-03 | 2018-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-03 | 2018-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-10-25 | 2017-12-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-26 | 2017-12-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-26 | 2017-12-08 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-10-26 | 2017-12-08 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-26 | 2017-12-08 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-26 | 2017-12-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-26 | 2017-12-08 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-26 | 2017-12-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-05-02 | 2017-05-24 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-24 | 2017-05-24 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-24 | 2017-05-24 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-04 | 2017-05-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-04 | 2017-05-24 | N |
