Deficiency Records for Lagrange Health and Rehab

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Updated as of April 01, 2024

A list of the most recent deficiencies for Lagrange Health 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?
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 2023-11-16 2024-01-11 Y
Provide and implement an infection prevention and control program. Health 2023-11-16 2024-01-11 Y
Install proper backup exit lighting. Fire Safety 2023-11-14 2023-12-31 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-11-14 2023-12-31 N
Provide properly protected cooking facilities. Fire Safety 2023-11-14 2023-12-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-14 2023-12-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-14 2023-12-31 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-11-14 2023-12-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-14 2023-12-31 N
Have properly sized and located compartments to protect residents from smoke. Fire Safety 2023-11-14 2023-12-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-14 2023-12-31 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-01-05 2023-02-27 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 2023-01-05 2023-02-27 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-01-05 2023-02-27 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-01-05 2023-02-27 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 2023-01-05 2023-02-27 N
Provide and implement an infection prevention and control program. Health 2023-01-05 2023-02-27 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-01-05 2023-02-27 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-01-04 2023-02-27 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-01-04 2023-02-27 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-01-04 2023-02-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-04 2023-02-27 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-01-04 2023-02-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-08 2022-11-08 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 2019-08-08 2019-09-22 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2019-08-08 2019-09-22 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2019-08-08 2019-09-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-08-08 2019-09-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-08-08 2019-09-22 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 2019-08-08 2019-09-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-08 2019-09-22 N
Provide and implement an infection prevention and control program. Health 2019-08-08 2019-09-22 N