Deficiency Records for East Lake Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for East Lake Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-12-14 | 2023-02-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-14 | 2023-02-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-14 | 2023-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-14 | 2023-02-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-03 | 2022-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2022-11-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-11-28 | 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 | 2022-11-03 | 2022-11-28 | 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 | 2022-11-03 | 2022-11-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-03 | 2022-11-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-06 | 2021-12-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-06 | 2021-12-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-08 | 2021-07-23 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2021-07-08 | 2021-07-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-28 | 2021-06-18 | Y |
| Meet other general requirements. | Fire Safety | 2020-07-30 | 2020-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-07-30 | 2020-08-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-07-30 | 2020-08-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-18 | 2019-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-18 | 2019-02-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-18 | 2019-02-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-18 | 2019-02-17 | 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 | 2019-01-18 | 2019-02-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-18 | 2019-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-18 | 2019-02-17 | N |
