A list of the most recent deficiencies for Bella Terra Lagrange. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-08 | 2024-02-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-08 | 2024-02-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-08 | 2024-02-16 | 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 | 2024-02-08 | 2024-02-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-08 | 2024-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-08 | 2024-02-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-08 | 2024-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-08 | 2024-02-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-08 | 2024-02-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-08 | 2024-02-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-08 | 2024-02-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-01 | 2024-02-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-01 | 2024-02-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-01 | 2024-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-02-15 | 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 | 2024-02-01 | 2024-02-15 | 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 | 2024-02-01 | 2024-02-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-01 | 2024-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-02-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-01 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-06-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-13 | 2023-04-24 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-09 | 2023-03-21 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-07 | 2023-03-20 | 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 | 2023-03-07 | 2023-03-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-07 | 2023-03-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-07 | 2023-03-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-03 | 2023-03-16 | 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 | 2023-03-03 | 2023-03-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-03-03 | 2023-03-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-03 | 2023-03-16 | 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 | 2023-03-03 | 2023-03-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-03 | 2023-01-13 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-10-12 | 2022-10-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-12 | 2022-10-18 | 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 | 2022-04-05 | 2022-04-06 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-11-09 | 2021-11-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-09 | 2021-11-10 | 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 | 2021-11-09 | 2021-11-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-05 | 2021-11-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-05 | 2021-11-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-05 | 2021-11-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-05 | 2021-11-05 | 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 | 2021-11-05 | 2021-11-05 | 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 | 2021-11-05 | 2021-11-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-21 | 2021-10-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-21 | 2021-10-29 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-21 | 2021-10-27 | Y |
