Deficiency Records for Blue Lake Post Acute
Updated as of March 01, 2022
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? |
|---|---|---|---|---|
| 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 |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-18 | 2021-03-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-18 | 2021-03-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-02-19 | 2021-03-12 | 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 | 2021-02-19 | 2021-03-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-19 | 2021-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-19 | 2021-03-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-10-28 | 2020-11-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-28 | 2020-11-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-10-28 | 2020-11-29 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-09-20 | 2019-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-03-01 | 2019-08-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-23 | 2019-06-16 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-05-23 | 2019-06-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-01 | 2019-06-16 | 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 | 2019-03-01 | 2019-06-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-01 | 2019-05-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-01 | 2019-05-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-03-01 | 2019-05-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-01 | 2019-05-07 | 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 | 2019-03-01 | 2019-05-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-03-01 | 2019-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-01 | 2019-05-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-03-01 | 2019-05-07 | N |
| Post nurse staffing information every day. | Health | 2019-03-01 | 2019-05-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-01 | 2019-05-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-01 | 2019-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-01 | 2019-05-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-03-01 | 2019-05-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-01 | 2019-05-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-25 | 2019-05-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-02-25 | 2019-05-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-02-25 | 2019-05-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-02-25 | 2019-05-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-25 | 2019-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-25 | 2019-05-07 | N |
