Deficiency Records for Lacon Rehab and Nursing
Updated as of February 01, 2021
This is not the most recent data for Lacon Rehab and Nursing. For the most recent information, click here.
A list of the most recent deficiencies for Lacon Rehab and Nursing. 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 | 2020-10-21 | 2020-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-21 | 2020-11-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-21 | 2020-11-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-21 | 2020-11-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-10-21 | 2020-11-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-21 | 2020-11-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-10-21 | 2020-11-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-10-21 | 2020-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-21 | 2020-11-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-21 | 2020-10-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-10-21 | 2020-10-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-10-21 | 2020-10-30 | 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 | 2020-10-16 | 2020-10-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-21 | 2020-10-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-13 | 2019-05-15 | N |
| Be properly staffed | Fire Safety | 2019-03-13 | 2019-04-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-13 | 2019-04-01 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-03-15 | 2019-03-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-03-15 | 2019-03-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-15 | 2019-03-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-15 | 2019-03-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-15 | 2019-03-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-15 | 2019-03-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-15 | 2019-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-15 | 2019-03-27 | 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 | 2019-03-15 | 2019-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-15 | 2019-03-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-03-13 | 2019-03-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-13 | 2019-03-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-13 | 2019-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-13 | 2019-03-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-13 | 2019-03-25 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-03-15 | 2019-03-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-03-15 | 2019-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-13 | 2019-03-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-03-15 | 2019-03-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-03-13 | 2019-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-13 | 2019-03-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-13 | 2019-03-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-10-30 | 2018-11-07 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-05-08 | 2018-05-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-08 | 2018-05-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-08 | 2018-05-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-05-08 | 2018-05-24 | 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 | 2018-05-11 | 2018-05-24 | 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 | 2018-05-11 | 2018-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-11 | 2018-05-24 | 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 | 2018-05-11 | 2018-05-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-11 | 2018-05-23 | N |
| 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 | 2018-05-11 | 2018-05-15 | N |
