Deficiency Records for Bedrock Rehabilitation and Nursing Center at Lake

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Updated as of April 01, 2024

A list of the most recent deficiencies for Bedrock Rehabilitation and Nursing Center at Lake. 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?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-19 2024-02-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-19 2024-02-19 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 2024-01-19 2024-02-19 N
Provide and implement an infection prevention and control program. Health 2024-01-19 2024-02-19 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-17 2024-02-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-17 2024-02-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-17 2024-02-19 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-07-27 2022-08-24 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-07-27 2022-08-24 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-07-27 2022-08-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-27 2022-08-24 N
Provide enough food/fluids to maintain a resident's health. Health 2022-07-27 2022-08-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-27 2022-08-24 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-07-27 2022-08-24 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 2022-07-27 2022-08-24 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 2022-07-27 2022-08-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-27 2022-08-24 N
Install proper backup exit lighting. Fire Safety 2022-07-26 2022-08-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-26 2022-08-24 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-07-26 2022-08-24 N
Have proper medical gas storage and administration areas. Fire Safety 2022-07-26 2022-08-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-02-24 2021-04-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-02-24 2021-04-07 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 2021-02-24 2021-04-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-02-24 2021-04-07 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-02-24 2021-04-07 N
Address subsistence needs for staff and patients. Fire Safety 2021-02-24 2021-04-07 N
Meet the requirements of an integrated health system. Fire Safety 2021-02-24 2021-04-07 N