A list of the most recent deficiencies for Lakeland Hills 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-28 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-28 | 2023-10-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-28 | 2023-10-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-28 | 2023-10-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-28 | 2023-10-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-09-28 | 2023-10-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-28 | 2023-10-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-09-28 | 2023-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-10-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-27 | 2023-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-18 | 2023-08-18 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-11-16 | 2022-12-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-19 | 2021-09-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-17 | 2021-09-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-17 | 2021-09-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-17 | 2021-09-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-22 | 2019-12-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-11-22 | 2019-12-22 | 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 | 2019-11-22 | 2019-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-22 | 2019-12-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-21 | 2019-12-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-21 | 2019-12-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-21 | 2019-12-22 | N |
