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Deficiency Records for Lillian Carter Health and Rehabilitation

A list of the most recent deficiencies for Lillian Carter Health and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Lillian Carter Health and Rehabilitation. 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?
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-03-10 2024-04-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-10 2024-04-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-10 2024-04-24 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 2024-03-10 2024-04-24 N
Provide and implement an infection prevention and control program. Health 2024-03-10 2024-04-24 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2024-03-09 2024-04-24 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-03-09 2024-04-24 N
Install an approved automatic sprinkler system. Fire Safety 2024-03-09 2024-04-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-09 2024-04-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-05-19 2022-07-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-12-16 2022-01-30 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2021-12-16 2022-01-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-02 2019-06-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-05-02 2019-06-14 N
Provide properly protected cooking facilities. Fire Safety 2019-04-30 2019-06-14 N

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