A list of the most recent deficiencies for Lansing Care and Rehab. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-05 | 2024-04-03 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-02-08 | 2024-03-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-08 | 2024-03-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-08 | 2024-03-06 | 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 | 2024-02-08 | 2024-03-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-08 | 2024-03-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-02-08 | 2024-03-06 | 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 | 2023-12-19 | 2024-01-12 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-08 | 2022-12-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-05 | 2022-10-26 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-29 | 2022-09-23 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-29 | 2022-09-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-23 | 2022-09-23 | 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 | 2022-08-23 | 2022-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-23 | 2022-09-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-29 | 2022-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-08-06 | 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 | 2022-06-29 | 2022-08-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-29 | 2022-08-06 | 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 | 2022-06-29 | 2022-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-08-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-07 | 2021-04-30 | 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 | 2021-04-07 | 2021-04-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-07 | 2021-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-02-25 | 2021-03-23 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-02-25 | 2021-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-25 | 2021-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-25 | 2021-03-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-02-25 | 2021-03-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-02-25 | 2021-03-23 | 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 | 2021-02-25 | 2021-03-23 | 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 | 2021-02-25 | 2021-03-23 | 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 | 2021-02-25 | 2021-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-25 | 2021-03-23 | N |
