A list of the most recent deficiencies for Lakepoint Augusta, 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-11 | 2023-09-28 | Y |
| 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 | 2023-09-11 | 2023-09-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-18 | 2023-05-19 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-18 | 2023-05-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Use approved construction type or materials. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-15 | 2023-05-03 | 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 | 2023-02-15 | 2023-05-03 | 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 | 2023-02-15 | 2023-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-15 | 2023-05-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-18 | 2023-04-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-01-09 | 2023-02-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-09 | 2023-02-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-09 | 2023-02-03 | 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 | 2023-01-09 | 2023-02-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-01-09 | 2023-02-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-09 | 2023-02-03 | 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 | 2023-01-09 | 2023-02-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-09 | 2023-02-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-09 | 2023-02-03 | Y |
| 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 | 2021-07-14 | 2021-08-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-14 | 2021-08-09 | 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 | 2021-07-14 | 2021-08-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-14 | 2021-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-08 | 2021-07-16 | 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 | 2021-06-08 | 2021-07-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-08 | 2021-07-16 | 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 | 2021-06-08 | 2021-07-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-08 | 2021-07-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-10 | 2019-10-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-09-10 | 2019-10-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-05 | 2019-08-12 | N |
| Establish methods for sharing information. | Fire Safety | 2019-08-05 | 2019-08-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-05 | 2019-08-12 | 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 | 2019-08-05 | 2019-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-05 | 2019-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-05 | 2019-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-05 | 2019-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-05 | 2019-08-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-05 | 2019-08-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-05 | 2019-08-12 | N |
