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Deficiency Records for Lakepoint El Dorado, LLC
View the most recent health deficiencies and inspection results for Lakepoint El Dorado, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lakepoint El Dorado, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-18 | 2025-01-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-12-18 | 2025-01-24 | 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 | 2024-12-18 | 2025-01-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-12-18 | 2025-01-21 | 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 | 2024-12-18 | 2025-01-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-18 | 2025-01-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-18 | 2025-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-18 | 2025-01-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-12-18 | 2025-01-09 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-12-18 | 2025-01-09 | Y |
| 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 | 2024-12-18 | 2025-01-09 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-18 | 2025-01-09 | Y |
| 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 necessary and PRN use is limited. | Health | 2024-12-18 | 2025-01-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-18 | 2025-01-09 | Y |
| 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. | Health | 2024-12-18 | 2025-01-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-18 | 2025-01-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-18 | 2025-01-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-18 | 2025-01-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-18 | 2025-01-09 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-12-18 | 2025-01-09 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-12-18 | 2025-01-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-24 | 2024-07-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-24 | 2024-07-31 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-16 | 2023-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-16 | 2023-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-16 | 2023-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-16 | 2023-03-23 | 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 | 2023-02-16 | 2023-03-23 | 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 | 2023-02-16 | 2023-03-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-02-16 | 2023-03-23 | 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 | 2023-02-16 | 2023-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-03-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-02-16 | 2023-03-03 | 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 | 2023-02-16 | 2023-03-03 | N |
| 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 necessary and PRN use is limited. | Health | 2023-02-16 | 2023-03-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-16 | 2023-03-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-17 | 2021-10-08 | 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 | 2021-08-17 | 2021-10-08 | 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 | 2021-08-17 | 2021-10-08 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-17 | 2021-10-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-08-17 | 2021-09-01 | 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 | 2021-08-17 | 2021-09-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-17 | 2021-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-17 | 2021-09-01 | N |