Most Recent Deficiencies for LAKEPOINT EL DORADO, LLC

Updated as of March 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Use approved construction type or materials. 2019-10-22
Keep aisles, corridors, and exits free of obstruction in case of emergency. 2019-10-22
Have approved installation, maintenance and testing program for fire alarm systems. 2019-10-22
Inspect, test, and maintain automatic sprinkler systems. 2019-10-22
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. 2019-10-22
Install corridor and hallway doors that block smoke. 2019-10-22
Have properly installed electrical wiring and gas equipment. 2019-10-22
Ensure proper usage of power strips and extension cords. 2019-10-22
Have proper medical gas storage and administration areas. 2019-10-22
Develop and maintain an Emergency Preparedness Program (EP). 2018-11-06
Include a process for Emergency Preparedness collaboration. 2018-11-06
Develop Emergency Preparedness policies and procedures. 2018-11-06
Address subsistence needs for staff and patients. 2018-11-06
Establish policies and procedures for sheltering. 2018-11-06
Develop a communication plan. 2018-11-06
Use approved construction type or materials. 2018-11-06
Keep aisles, corridors, and exits free of obstruction in case of emergency. 2018-11-06
Install proper backup exit lighting. 2018-11-06
Install emergency lighting that can last at least 1 1/2 hours. 2018-11-06
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2018-11-06
Provide properly protected cooking facilities. 2018-11-06
Inspect, test, and maintain automatic sprinkler systems. 2018-11-06
Install corridor and hallway doors that block smoke. 2018-11-06
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. 2018-11-06
Provide a written emergency evacuation plan. 2018-11-06
Have simulated fire drills held at unexpected times. 2018-11-06
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. 2018-11-06
Have generator or other power source capable of supplying service within 10 seconds. 2018-11-06
Ensure proper usage of power strips and extension cords. 2018-11-06
Have proper medical gas storage and administration areas. 2018-11-06
Inspect, test, and maintain automatic sprinkler systems. 2017-06-09
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. 2017-06-09
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2019-06-05
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. 2019-12-12
Provide care and assistance to perform activities of daily living for any resident who is unable. 2019-12-12
Provide safe and appropriate respiratory care for a resident when needed. 2019-12-12
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 2019-12-12
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. 2019-12-12
Ensure each resident?s drug regimen must be free from unnecessary drugs. 2019-12-12
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2019-12-12
Provide and implement an infection prevention and control program. 2019-12-12
Develop and implement policies and procedures for flu and pneumonia vaccinations. 2019-12-12
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 2019-12-12
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2017-08-09
Reasonably accommodate the needs and preferences of each resident. 2018-01-08
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 2018-01-08
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2018-01-08
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. 2018-01-08
Observe each nurse aide's job performance and give regular training. 2018-01-08
Post nurse staffing information every day. 2018-01-08
Ensure each resident?s drug regimen must be free from unnecessary drugs. 2018-01-08
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne 2018-01-08
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2018-01-08
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. 2018-01-08
Implement a program that monitors antibiotic use. 2018-01-08
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2018-01-08
Provide and implement an infection prevention and control program. 2018-01-08