A list of the most recent deficiencies for Lakeland Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-03-02 | 2023-04-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-02 | 2023-04-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-02 | 2023-04-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-02 | 2023-04-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-02 | 2023-04-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-02 | 2023-04-02 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-03-02 | 2023-04-02 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-01 | 2023-03-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-11 | 2021-07-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-11 | 2021-07-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-11 | 2021-07-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-06-11 | 2021-07-11 | 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 | 2021-06-11 | 2021-07-11 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-06-11 | 2021-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-11 | 2021-07-11 | Y |
| Provide appropriate foot care. | Health | 2021-06-11 | 2021-07-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-10 | 2021-07-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-10 | 2021-07-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-10 | 2021-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-10 | 2021-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-10 | 2021-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-10 | 2021-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-11 | 2019-12-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-11 | 2019-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-16 | 2019-10-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-09-16 | 2019-10-25 | 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 | 2019-09-16 | 2019-10-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-09-16 | 2019-10-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-16 | 2019-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-16 | 2019-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-16 | 2019-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-16 | 2019-10-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-16 | 2019-10-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-16 | 2019-10-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-09-16 | 2019-10-25 | N |
| Dispose of garbage and refuse properly. | Health | 2019-09-16 | 2019-10-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-11 | 2019-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-11 | 2019-10-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-11 | 2019-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-11 | 2019-10-25 | N |
