A list of the most recent deficiencies for Lena Living 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? |
---|---|---|---|---|
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-05-25 | 2023-07-27 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-08 | 2023-06-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-08 | 2023-06-30 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-08 | 2023-06-30 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-08 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-06-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-06-08 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-06-08 | 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 | 2023-05-25 | 2023-06-08 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-25 | 2023-06-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-06-08 | N |
Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-08 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-25 | 2023-06-08 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-22 | 2023-04-10 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-22 | 2023-04-10 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-03-22 | 2023-04-10 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-04 | 2022-06-24 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-05-04 | 2022-06-24 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-13 | 2022-06-03 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-13 | 2022-06-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-13 | 2022-06-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-13 | 2022-06-03 | 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 | 2022-05-04 | 2022-05-27 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-04 | 2022-05-26 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-04 | 2022-05-26 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-04 | 2022-05-26 | 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 | 2022-05-04 | 2022-05-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-04 | 2022-05-26 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-05-26 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-04 | 2022-05-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-04 | 2022-05-23 | 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 | 2022-05-04 | 2022-05-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-04 | 2022-05-10 | N |
Respond appropriately to all alleged violations. | Health | 2022-04-26 | 2022-04-27 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-04-27 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-31 | 2022-04-14 | 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 | 2022-03-31 | 2022-04-12 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-31 | 2022-04-12 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-23 | 2022-04-07 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-04-07 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-07 | 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 | 2022-03-23 | 2022-04-07 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-26 | 2022-02-12 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-20 | 2022-02-07 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-20 | 2022-02-07 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-07 | Y |
Perform COVID19 testing on residents and staff. | Health | 2022-01-20 | 2022-02-07 | 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 | 2021-09-15 | 2021-10-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-15 | 2021-10-15 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Create arrangements with other facilities to receive patients. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
List the names and contact information of those in the facility. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Provide emergency officials' contact information. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Establish staff and initial training requirements. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Conduct testing and exercise requirements. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-24 | 2021-09-30 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-24 | 2021-09-16 | 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 | 2021-08-24 | 2021-09-16 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-24 | 2021-09-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-09 | 2021-08-27 | Y |
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 | 2021-07-29 | 2021-08-26 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-29 | 2021-08-26 | 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 | 2021-07-29 | 2021-08-26 | 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 | 2021-07-29 | 2021-08-26 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-29 | 2021-08-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-29 | 2021-08-26 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-29 | 2021-08-26 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-29 | 2021-08-26 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-29 | 2021-08-26 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-29 | 2021-08-26 | 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 | 2021-07-29 | 2021-08-26 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-09 | 2021-07-14 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-09 | 2021-07-14 | Y |