Deficiency Records for Lake Mills Care Center

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Updated as of October 01, 2023

This is not the most recent data for Lake Mills Care Center. For the most recent information, click here.

A list of the most recent deficiencies for Lake Mills Care 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?
Conduct testing and exercise requirements. Fire Safety 2023-05-09 2023-06-09 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-05-09 2023-06-09 N
Provide a written emergency evacuation plan. Fire Safety 2023-05-09 2023-06-09 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-05-09 2023-06-09 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-05-04 2023-06-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-04 2023-06-04 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-05-04 2023-06-04 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-04 2023-06-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-04 2023-06-04 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 2023-05-04 2023-06-04 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 2023-05-04 2023-06-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-04 2023-06-04 N
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Health 2023-05-04 2023-06-04 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2021-12-13 2022-01-31 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 2021-12-13 2022-01-13 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 2021-12-13 2022-01-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-12-13 2021-12-27 N
Establish roles under a Waiver declared by secretary. Fire Safety 2021-12-13 2021-12-22 N
Provide primary/alternate means for communication. Fire Safety 2021-12-13 2021-12-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-12-13 2021-12-13 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-12-13 2021-12-13 N
Provide and implement an infection prevention and control program. Health 2019-08-28 2019-09-28 N
Provide properly protected cooking facilities. Fire Safety 2019-09-05 2019-09-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-05 2019-09-10 N
Have exits that are accessible at all times. Fire Safety 2019-09-05 2019-09-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-09-05 2019-09-05 N