Deficiency Records for Charming Lakes Rehab
Updated as of June 01, 2023
This is not the most recent data for Charming Lakes Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Charming Lakes Rehab. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-28 | 2023-01-26 | Y |
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 | 2022-05-09 | 2022-05-27 | Y |
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 | 2021-08-13 | 2021-09-17 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-13 | 2021-09-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-13 | 2021-09-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-13 | 2021-09-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-13 | 2021-09-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-13 | 2021-09-17 | N |
Post nurse staffing information every day. | Health | 2021-08-13 | 2021-09-17 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-13 | 2021-09-17 | 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 | 2021-08-13 | 2021-09-17 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-08-13 | 2021-09-17 | N |
Provide and implement an infection prevention and control program. | Health | 2021-08-13 | 2021-09-17 | N |
Keep all essential equipment working safely. | Health | 2021-08-13 | 2021-09-17 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-11 | 2021-09-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-11 | 2021-09-10 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-11 | 2021-09-10 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-11 | 2021-09-10 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-11 | 2021-09-10 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-11 | 2021-09-10 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-11 | 2021-09-10 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-11 | 2021-09-10 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-09-22 | 2020-10-16 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-22 | 2020-10-16 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-11 | 2019-11-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-11 | 2019-11-05 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-11 | 2019-11-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-11 | 2019-11-04 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-11 | 2019-11-04 | 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 | 2019-10-11 | 2019-11-04 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-11 | 2019-05-11 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-11 | 2019-05-11 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-11 | 2019-05-11 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-11 | 2019-05-11 | 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 | 2019-04-11 | 2019-05-11 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-11 | 2019-05-11 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-11 | 2019-05-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-05-11 | N |
Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-11 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-04-11 | 2019-05-11 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-04-10 | 2019-05-11 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-04-10 | 2019-05-11 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-04-10 | 2019-05-11 | N |