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Deficiency Records for Lakepoint Wichita, LLC
View the most recent health deficiencies and inspection results for Lakepoint Wichita, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lakepoint Wichita, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Use approved construction type or materials. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Meet other general requirements. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-12-04 | 2025-02-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-04 | 2025-01-03 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-12-04 | 2025-01-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-04 | 2025-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-04 | 2025-01-03 | 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 | 2024-12-04 | 2025-01-03 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-12-04 | 2025-01-03 | 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 | 2024-12-04 | 2025-01-03 | 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 | 2024-12-04 | 2025-01-03 | 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 | 2024-12-04 | 2025-01-03 | Y |
| 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 | 2024-12-04 | 2025-01-03 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-12-04 | 2025-01-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-04 | 2025-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-30 | 2024-08-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-27 | 2023-10-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-17 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-09 | 2023-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-09 | 2023-06-14 | 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 | 2023-03-09 | 2023-04-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-04-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-09 | 2023-04-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-09 | 2023-04-21 | 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 | 2023-03-09 | 2023-04-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-09 | 2023-04-21 | 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 | 2023-03-09 | 2023-04-21 | N |
| 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 | 2023-03-09 | 2023-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-09 | 2023-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-04-21 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-09 | 2023-04-21 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-03-09 | 2023-04-21 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-09 | 2023-04-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-09 | 2023-04-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-09 | 2023-04-21 | 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 | 2023-03-09 | 2023-04-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-03-09 | 2023-04-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-09 | 2023-04-21 | N |
| 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 | 2023-03-09 | 2023-04-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-09 | 2023-04-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-09 | 2023-04-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-09 | 2023-04-21 | 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 | 2021-07-22 | 2021-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-22 | 2021-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-22 | 2021-09-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-07-22 | 2021-08-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-22 | 2021-08-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-07-22 | 2021-08-18 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-22 | 2021-08-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-22 | 2021-08-18 | N |
| 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 | 2021-07-22 | 2021-08-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-07-22 | 2021-08-18 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-07-22 | 2021-08-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-22 | 2021-08-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-22 | 2021-08-18 | N |