Deficiency Records for Lakepoint El Dorado, LLC
Updated as of June 01, 2019
This is not the most recent data for Lakepoint El Dorado, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Lakepoint El Dorado, LLC. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2018-11-06 | 2018-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-06 | 2018-12-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-06 | 2018-12-04 | 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 | 2018-11-06 | 2018-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-06 | 2018-11-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-11-06 | 2018-11-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-06 | 2018-11-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-06 | 2018-11-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-06 | 2018-11-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| Develop a communication plan. | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-06 | 2018-11-15 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-06 | 2018-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-06 | 2018-11-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-06 | 2018-11-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-06 | 2018-11-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-01-08 | 2018-02-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-08 | 2018-02-07 | 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 | 2018-01-08 | 2018-02-07 | N |
| 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. | Health | 2018-01-08 | 2018-02-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-01-08 | 2018-02-07 | N |
| Post nurse staffing information every day. | Health | 2018-01-08 | 2018-02-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-08 | 2018-02-07 | 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 ne | Health | 2018-01-08 | 2018-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-08 | 2018-02-07 | N |
| 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. | Health | 2018-01-08 | 2018-02-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-01-08 | 2018-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-08 | 2018-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-01-08 | 2018-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-09 | 2017-08-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-09 | 2017-06-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-09 | 2017-06-27 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-10 | 2016-08-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-05-03 | 2016-06-02 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-05-03 | 2016-06-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-03 | 2016-06-02 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-05-03 | 2016-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-03 | 2016-06-02 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-05-03 | 2016-06-02 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-05-03 | 2016-06-02 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
| Approved construction type or materials. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-12 | 2016-01-28 | N |
