A list of the most recent deficiencies for Clark-Lindsey Village. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-19 | 2024-02-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-19 | 2024-02-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-22 | 2024-02-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-19 | 2024-02-02 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-01-22 | 2024-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-22 | 2024-01-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-02-06 | 2023-03-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-06 | 2023-03-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-06 | 2023-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-06 | 2023-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-06 | 2023-03-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-06 | 2023-03-10 | N |
| 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 | 2023-02-08 | 2023-03-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-08 | 2023-03-06 | 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 | 2023-02-08 | 2023-03-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-06 | 2023-03-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-06 | 2023-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-06 | 2023-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-08 | 2023-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-13 | 2023-01-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-13 | 2023-01-08 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-19 | 2022-10-14 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-09-19 | 2022-10-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-19 | 2022-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-19 | 2022-10-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-19 | 2022-10-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-19 | 2022-10-14 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-17 | 2022-01-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-12-17 | 2022-01-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-17 | 2022-01-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-12-17 | 2022-01-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-17 | 2022-01-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-17 | 2022-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-17 | 2022-01-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-01-14 | 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 | 2021-12-16 | 2022-01-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-16 | 2022-01-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-17 | 2021-12-22 | N |
