A list of the most recent deficiencies for The Admiral 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-09 | 2024-03-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-09 | 2024-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-09 | 2024-03-01 | 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 | 2024-02-09 | 2024-03-01 | 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 | 2024-02-09 | 2024-03-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-02-09 | 2024-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-01 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-02-09 | 2024-03-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-09 | 2024-03-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-09 | 2024-03-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-02-15 | 2024-03-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-15 | 2024-03-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-15 | 2024-03-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-02-15 | 2024-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-04-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-07 | 2023-03-31 | 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 | 2023-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-07 | 2023-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-07 | 2023-03-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-07 | 2023-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-03-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-02 | 2023-03-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-02 | 2023-03-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-24 | 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 | 2023-03-02 | 2023-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-05 | 2022-12-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-26 | 2022-11-11 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-04-07 | 2022-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-07 | 2022-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-07 | 2022-04-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-05 | 2022-04-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-05 | 2022-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-05 | 2022-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-05 | 2022-04-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-04-05 | 2022-04-30 | N |
