A list of the most recent deficiencies for The Carlton at The Lake. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-19 | 2024-02-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-02-03 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-08 | 2023-12-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-02 | 2023-11-03 | 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 | 2023-11-02 | 2023-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2023-11-03 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-02 | 2023-11-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-04 | 2023-10-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-04 | 2023-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-04 | 2023-10-17 | 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 | 2023-07-01 | 2023-07-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-01 | 2023-07-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-08 | 2023-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-08 | 2023-05-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-08 | 2023-05-09 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-08 | 2023-05-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-03 | 2023-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-03 | 2023-02-04 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-03 | 2023-02-04 | 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 | 2023-02-03 | 2023-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-03 | 2023-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-02-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-03 | 2023-02-04 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-03 | 2023-02-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-30 | 2022-10-13 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-12-16 | 2022-02-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-16 | 2022-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-16 | 2022-02-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-16 | 2022-02-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-16 | 2022-02-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-16 | 2022-01-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-16 | 2022-01-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-16 | 2022-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-16 | 2022-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2022-01-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-16 | 2022-01-05 | 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 | 2021-12-16 | 2022-01-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-16 | 2022-01-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-01-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-16 | 2022-01-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-10-13 | 2021-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-08 | 2021-07-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-10-29 | 2020-11-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-29 | 2020-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-29 | 2020-11-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-10-29 | 2020-11-23 | 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 | 2020-10-29 | 2020-11-23 | N |
