Deficiency Records for Lady Lake Specialty Care Center and Rehab
Updated as of March 01, 2024
A list of the most recent deficiencies for Lady Lake Specialty Care Center and 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? |
|---|---|---|---|---|
| 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 | 2023-03-09 | 2023-04-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-09 | 2023-04-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-09 | 2023-04-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-09 | 2023-04-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-09 | 2023-04-17 | 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 | 2023-03-09 | 2023-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-04-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-09 | 2023-04-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-09 | 2023-04-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-09 | 2023-04-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-09 | 2023-04-17 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-13 | 2023-04-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-13 | 2023-04-17 | 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 | 2021-09-15 | 2021-10-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-09-15 | 2021-10-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-15 | 2021-10-15 | N |
| Post nurse staffing information every day. | Health | 2021-09-15 | 2021-10-15 | 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 | 2021-09-15 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-15 | 2021-10-15 | N |
| Dispose of garbage and refuse properly. | Health | 2021-09-15 | 2021-10-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-29 | 2021-09-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-29 | 2021-09-10 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-01-08 | 2020-02-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-08 | 2020-02-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-08 | 2020-02-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-02-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-08 | 2020-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-08 | 2020-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-08 | 2020-02-06 | N |
