Deficiency Records for Lakepoint Augusta, LLC
Updated as of July 01, 2021
This is not the most recent data for Lakepoint Augusta, LLC. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-04-22 | 2020-04-27 | 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 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-02 | 2019-07-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-07-02 | 2019-07-09 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-05-29 | 2019-06-07 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-23 | 2018-11-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-10-23 | 2018-11-22 | 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 | 2018-10-23 | 2018-11-22 | 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 | 2018-10-23 | 2018-11-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-23 | 2018-11-22 | N |
| Dispose of garbage and refuse properly. | Health | 2018-10-23 | 2018-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-22 | 2018-09-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-08-22 | 2018-09-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-22 | 2018-09-21 | Y |
| 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 | 2018-08-22 | 2018-09-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-08-22 | 2018-09-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-22 | 2018-09-21 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-10 | 2018-08-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-10 | 2018-07-13 | N |
| Use approved construction type or materials. | Fire Safety | 2018-07-10 | 2018-07-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-10 | 2018-07-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-06-21 | 2017-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-21 | 2017-07-12 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-21 | 2017-07-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-21 | 2017-07-12 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-21 | 2017-07-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-21 | 2017-07-12 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2017-06-21 | 2017-07-12 | N |
| Use approved construction type or materials. | Fire Safety | 2016-11-22 | 2016-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-22 | 2016-12-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2016-11-22 | 2016-12-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-11-22 | 2016-12-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2016-11-22 | 2016-12-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-11-22 | 2016-12-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-11-22 | 2016-12-10 | N |
