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Deficiency Records for The Lilac at Bayview
View the most recent health deficiencies and inspection results for The Lilac at Bayview. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Lilac at Bayview. Stay informed about quality of care issues.
| 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 | 2025-04-10 | 2025-05-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-10 | 2025-05-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-04-10 | 2025-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-10 | 2025-05-08 | 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 | 2025-04-10 | 2025-05-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-10 | 2025-05-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-04-10 | 2025-05-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-10 | 2025-05-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-12-04 | 2025-01-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-04 | 2025-01-03 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-05-17 | 2024-06-17 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-05-17 | 2024-06-17 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-21 | 2023-10-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-21 | 2023-10-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-10-06 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-18 | 2023-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-18 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-05-18 | 2023-06-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-18 | 2023-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-18 | 2023-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-18 | 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 | 2023-05-18 | 2023-06-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-18 | 2023-06-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-05-18 | 2023-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-18 | 2023-06-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-18 | 2023-06-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-18 | 2023-06-18 | 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 | 2021-09-16 | 2021-10-21 | N |
| Keep all essential equipment working safely. | Health | 2021-09-16 | 2021-10-21 | N |