CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lakeside Lutheran Home
View the most recent health deficiencies and inspection results for Lakeside Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lakeside Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2026-02-26 | 2026-02-27 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-02-26 | 2026-02-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-26 | 2026-02-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-02-26 | 2026-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-26 | 2026-02-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-02-26 | 2026-02-25 | N |
| Respond appropriately to all alleged violations. | Health | 2025-05-22 | 2025-06-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-22 | 2025-06-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-22 | 2025-06-04 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-05-22 | 2025-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-22 | 2025-06-04 | Y |
| Meet other general requirements. | Fire Safety | 2025-01-23 | 2025-02-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-01-23 | 2025-02-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-01-23 | 2025-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-23 | 2025-02-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-23 | 2025-02-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-01-23 | 2025-02-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-23 | 2025-02-17 | N |
| Respond appropriately to all alleged violations. | Health | 2025-01-23 | 2025-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-23 | 2025-02-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-23 | 2025-02-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-23 | 2025-02-14 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-01-23 | 2025-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-23 | 2025-02-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-23 | 2025-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-23 | 2025-02-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-01-23 | 2025-02-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-23 | 2025-02-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-23 | 2025-02-04 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-23 | 2025-02-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-01-23 | 2025-02-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-23 | 2025-02-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-23 | 2025-02-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-23 | 2025-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-23 | 2025-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-23 | 2025-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-23 | 2025-01-30 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-01-23 | 2025-01-29 | 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 | 2025-01-23 | 2025-01-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-23 | 2025-01-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-15 | 2024-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-15 | 2024-03-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-15 | 2024-03-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-15 | 2024-03-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-15 | 2024-03-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-15 | 2024-03-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-02-15 | 2024-03-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-15 | 2024-03-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-15 | 2024-03-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-02-15 | 2024-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-15 | 2024-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-15 | 2024-02-28 | 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 | 2024-02-15 | 2024-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-15 | 2024-02-28 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-02-15 | 2024-02-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-15 | 2024-02-28 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-15 | 2024-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-15 | 2024-02-26 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-02-15 | 2024-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-15 | 2024-02-23 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-02-15 | 2024-02-23 | 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 | 2024-02-15 | 2024-02-23 | N |