A list of the most recent deficiencies for Lakeview Rehab and Nursing 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-17 | 2023-12-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-17 | 2023-12-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-17 | 2023-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-17 | 2023-12-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-17 | 2023-12-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-09-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-28 | 2023-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-08-10 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-28 | 2023-08-10 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-13 | 2023-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-05-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-14 | 2023-05-18 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-14 | 2023-05-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-13 | 2023-05-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-13 | 2023-05-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-13 | 2023-05-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-14 | 2023-05-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-14 | 2023-05-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-04-14 | 2023-05-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-14 | 2023-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-14 | 2023-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-14 | 2023-05-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-14 | 2023-05-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-14 | 2023-05-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-14 | 2023-05-05 | 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 | 2023-04-14 | 2023-05-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-04-14 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-14 | 2023-05-05 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-14 | 2023-05-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-14 | 2023-05-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-04-14 | 2023-05-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-14 | 2023-05-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-14 | 2023-05-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-14 | 2023-05-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-13 | 2023-04-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-13 | 2023-04-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-09 | 2023-03-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-09 | 2023-03-20 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-09 | 2023-03-20 | Y |
| 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 | 2023-03-09 | 2023-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-24 | 2022-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-07 | 2022-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-07-22 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-06-15 | 2022-07-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-15 | 2022-07-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-04 | 2022-04-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-04 | 2022-04-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-04 | 2022-04-06 | 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 | 2022-03-04 | 2022-04-06 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-04 | 2022-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-04 | 2022-04-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-25 | 2022-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-25 | 2022-03-07 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-25 | 2022-03-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-21 | 2022-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-21 | 2022-02-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-21 | 2022-01-21 | Y |
| 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 | 2021-12-21 | 2022-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-21 | 2022-01-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-21 | 2022-01-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-21 | 2022-01-10 | 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 | 2021-12-21 | 2022-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-01 | 2021-10-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-15 | 2021-08-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-09 | 2021-07-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-09 | 2021-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-05-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-05-07 | 2021-05-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-26 | 2021-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-26 | 2021-03-16 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-02-26 | 2021-03-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-02-26 | 2021-03-16 | 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 | 2021-02-26 | 2021-03-16 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-02-26 | 2021-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-26 | 2021-03-16 | N |
