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Deficiency Records for The Carlton at The Lake

View the most recent health deficiencies and inspection results for The Carlton at The Lake. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Carlton at The Lake. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2026-03-05 2026-03-06 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2026-03-05 2026-03-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-03-05 2026-03-06 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 2026-03-05 2026-03-06 Y
Reasonably accommodate the needs and preferences of each resident. Health 2026-03-05 2026-03-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-11-21 2025-11-22 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2025-11-21 2025-11-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-11-07 2025-11-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-09-08 2025-09-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-09-08 2025-09-09 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2025-08-25 2025-08-26 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2025-08-25 2025-08-26 Y
Have an enclosure around a vertical opening shaft. Fire Safety 2025-04-11 2025-05-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-05-02 2025-05-03 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-05-02 2025-05-03 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-04-11 2025-04-16 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2025-04-11 2025-04-16 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2025-04-11 2025-04-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-04-11 2025-04-12 N
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 2025-04-11 2025-04-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-04-11 2025-04-12 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 2025-04-11 2025-04-12 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2025-04-11 2025-04-12 N
Reasonably accommodate the needs and preferences of each resident. Health 2025-04-11 2025-04-12 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2025-04-11 2025-04-12 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2025-04-11 2025-04-12 N
Provide and implement an infection prevention and control program. Health 2025-04-11 2025-04-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-11-07 2024-11-08 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-11-07 2024-11-08 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 2024-08-05 2024-08-06 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 2024-08-05 2024-08-06 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2024-04-15 2024-04-16 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-15 2024-04-16 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 2024-04-15 2024-04-16 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-03-15 2024-03-16 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-03-15 2024-03-16 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-03-15 2024-03-16 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-03-15 2024-03-16 N
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 2024-03-15 2024-03-16 N
Provide enough food/fluids to maintain a resident's health. Health 2024-03-15 2024-03-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-15 2024-03-16 N
Ensure medication error rates are not 5 percent or greater. Health 2024-03-15 2024-03-16 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 2024-03-15 2024-03-16 N
Provide and implement an infection prevention and control program. Health 2024-03-15 2024-03-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-03-15 2024-03-14 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2024-03-15 2024-03-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-15 2024-03-14 N
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
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-02-03 2023-02-09 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2023-02-03 2023-02-09 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-02-03 2023-02-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-03 2023-02-09 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-02-03 2023-02-09 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-02-03 2023-02-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-02-03 2023-02-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-03 2023-02-09 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-02-03 2023-02-09 N
Install an approved automatic sprinkler system. Fire Safety 2023-02-03 2023-02-09 N
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
Have an enclosure around a vertical opening shaft. Fire Safety 2023-02-03 Not Fixed N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-03-15 Not Fixed N

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