A list of the most recent deficiencies for Life Care Center of Michigan City. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Develop a communication plan. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-05-22 | 2023-07-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-28 | 2023-05-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-28 | 2023-05-23 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-28 | 2023-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-28 | 2023-05-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-28 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-28 | 2023-05-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-28 | 2023-05-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-28 | 2023-05-23 | 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 | 2023-04-28 | 2023-05-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-28 | 2023-05-23 | 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 | 2023-04-28 | 2023-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-28 | 2023-05-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-28 | 2023-05-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-07 | 2022-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-07 | 2022-10-23 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-21 | 2022-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Have an externally vented heating system. | Fire Safety | 2022-06-21 | 2022-07-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-20 | 2022-06-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-20 | 2022-06-05 | 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 | 2022-05-20 | 2022-06-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-20 | 2022-06-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-05-20 | 2022-06-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-20 | 2022-06-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-20 | 2022-06-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-20 | 2022-06-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-20 | 2022-06-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-07 | 2022-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2021-12-15 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-24 | 2019-10-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-24 | 2019-10-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-24 | 2019-10-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-24 | 2019-10-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-09-24 | 2019-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-24 | 2019-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-24 | 2019-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-10-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-16 | 2019-09-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-16 | 2019-09-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-16 | 2019-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-16 | 2019-09-15 | 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 | 2019-08-16 | 2019-09-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-16 | 2019-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-16 | 2019-09-15 | 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 | 2019-08-16 | 2019-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-16 | 2019-09-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-16 | 2019-09-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-08-16 | 2019-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-16 | 2019-09-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-16 | 2019-09-15 | N |
