Deficiency Records for Lake Wales Wellness and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Lake Wales Wellness and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-19 | 2023-07-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-19 | 2023-07-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-11 | 2022-09-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-11 | 2022-09-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-11 | 2022-09-11 | N |
| 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 | 2022-08-11 | 2022-09-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-11 | 2022-09-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-11 | 2022-09-11 | 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 | 2022-08-11 | 2022-09-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-11 | 2022-09-11 | 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 | 2022-08-11 | 2022-09-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-11 | 2022-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-09-11 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-08 | 2022-09-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-08 | 2022-09-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-08 | 2022-09-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-11 | 2022-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-11 | 2022-04-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-26 | 2021-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-26 | 2021-04-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-26 | 2021-04-23 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-03-26 | 2021-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-26 | 2021-04-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-03-24 | 2021-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-24 | 2021-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-24 | 2021-04-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-03-24 | 2021-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-24 | 2021-04-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-24 | 2021-04-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-08 | 2019-06-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-08 | 2019-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-08 | 2019-06-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-08 | 2019-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-08 | 2019-06-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-08 | 2019-06-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-08 | 2019-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-08 | 2019-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-08 | 2019-06-06 | 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 | 2019-05-08 | 2019-06-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-08 | 2019-06-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-08 | 2019-06-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-08 | 2019-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-08 | 2019-06-06 | N |
| Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2019-05-08 | 2019-06-06 | N |
