A list of the most recent deficiencies for Clearvista Lake Health Campus. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2023-12-29 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-22 | 2023-09-22 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-08-22 | 2023-09-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-22 | 2023-09-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-22 | 2023-09-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-22 | 2023-09-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-22 | 2023-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-22 | 2023-09-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-22 | 2023-09-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-08-22 | 2023-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-22 | 2023-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-09-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-05 | 2023-09-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-31 | 2023-02-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-31 | 2023-02-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-31 | 2023-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-07 | 2022-09-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-23 | 2022-06-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-23 | 2022-06-06 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-16 | 2022-04-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-16 | 2022-04-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-03-16 | 2022-04-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-16 | 2022-04-17 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-16 | 2022-04-17 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-03-16 | 2022-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-04-17 | 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 | 2022-03-16 | 2022-04-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-16 | 2022-04-17 | 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 | 2022-03-16 | 2022-04-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-16 | 2022-04-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-16 | 2022-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-04-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-16 | 2022-04-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-16 | 2022-04-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-16 | 2022-04-17 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-16 | 2022-04-17 | 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 | 2022-03-16 | 2022-04-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-16 | 2022-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-16 | 2022-04-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-16 | 2022-04-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-03-16 | 2022-04-17 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-04-05 | 2022-04-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-05 | 2022-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-08 | 2019-09-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-07-01 | 2019-07-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-01 | 2019-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-01 | 2019-07-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-01 | 2019-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-01 | 2019-07-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-01 | 2019-07-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-01 | 2019-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-01 | 2019-07-30 | N |
