Deficiency Records for Lakeland Rehab and Healthcare Center
Updated as of March 01, 2020
This is not the most recent data for Lakeland Rehab and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Lakeland Rehab and Healthcare 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-21 | 2019-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-21 | 2019-11-15 | Y |
| 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 | 2019-10-21 | 2019-11-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-10 | 2019-10-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-10 | 2019-10-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-10 | 2019-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-10 | 2019-10-04 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-11 | 2019-07-30 | 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 | 2019-06-11 | 2019-07-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Be properly staffed | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-06-11 | 2019-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-23 | 2019-07-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-10 | 2019-07-22 | 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 | 2019-05-10 | 2019-07-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-10 | 2019-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-10 | 2019-07-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-10 | 2019-07-22 | 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 | 2019-05-10 | 2019-07-22 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-05-10 | 2019-07-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-20 | 2018-12-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-20 | 2018-12-13 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Meet other general requirements. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-06-18 | 2018-07-18 | 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 | 2018-06-18 | 2018-07-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-18 | 2018-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-17 | 2018-05-10 | Y |
| Meet other general requirements. | Fire Safety | 2017-07-17 | 2017-08-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-07-17 | 2017-08-10 | 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 | 2017-07-17 | 2017-08-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-07-17 | 2017-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-17 | 2017-08-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-17 | 2017-08-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-07-17 | 2017-08-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-17 | 2017-08-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-07-17 | 2017-08-10 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-07-17 | 2017-08-10 | N |
