Deficiency Records for Lakeland Rehab and Healthcare Center
Updated as of November 01, 2022
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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-28 | 2022-09-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-28 | 2022-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-28 | 2022-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-28 | 2022-09-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-28 | 2022-09-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-28 | 2022-09-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-28 | 2022-09-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-16 | 2022-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-16 | 2022-06-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-06-16 | 2022-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-16 | 2022-06-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-16 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-16 | 2022-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-22 | 2021-08-08 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-22 | 2021-08-08 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-03 | 2021-06-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-03 | 2021-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-23 | 2021-05-14 | 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 | 2021-04-23 | 2021-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-05-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-09-04 | 2020-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-04 | 2020-09-23 | 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-10 | 2019-07-22 | N |
| 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 |
| 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 | N |
| 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 | 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 |
