Deficiency Records for Life Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Life Care 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?
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-11-29 2024-01-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-29 2024-01-13 N
Provide appropriate foot care. Health 2023-11-29 2024-01-13 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 2023-11-29 2024-01-13 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-29 2024-01-13 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2023-11-28 2024-01-13 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 2023-11-28 2024-01-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-28 2024-01-13 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-11-28 2024-01-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-18 2023-06-30 Y
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-05-18 2023-06-30 Y
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 2023-05-16 2023-06-30 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-05-16 2023-06-30 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-05-16 2023-06-30 N
Have proper medical gas storage and administration areas. Fire Safety 2023-05-16 2023-06-30 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-06-29 2022-10-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-29 2022-10-15 Y
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2022-06-29 2022-10-15 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-06-29 2022-10-15 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-29 2022-10-15 Y
Respond appropriately to all alleged violations. Health 2022-06-29 2022-10-15 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-06-29 2022-10-15 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-29 2022-10-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-29 2022-10-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-29 2022-10-15 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-06-29 2022-10-15 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2022-06-29 2022-10-15 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-06-29 2022-10-15 Y
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2022-06-29 2022-10-15 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-29 2022-10-15 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-06-29 2022-10-15 Y
Provide and implement an infection prevention and control program. Health 2022-06-29 2022-10-15 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-06-29 2022-10-15 Y
Perform COVID19 testing on residents and staff. Health 2022-06-29 2022-10-15 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-06-29 2022-10-15 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-06-29 2022-10-15 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 2021-08-19 2021-10-03 N