Deficiency Records for Lakepoint Wichita, LLC
Updated as of October 01, 2021
This is not the most recent data for Lakepoint Wichita, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Lakepoint Wichita, 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-28 | 2020-12-11 | 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 | 2019-10-23 | 2020-01-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-23 | 2019-11-23 | 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 | 2019-10-23 | 2019-11-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-25 | 2019-10-25 | 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 | 2019-09-25 | 2019-10-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-25 | 2019-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-25 | 2019-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-25 | 2019-10-25 | 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 | 2019-09-25 | 2019-10-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-25 | 2019-10-25 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-09-25 | 2019-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-25 | 2019-10-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-04 | 2019-10-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-01 | 2019-08-30 | 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 | 2019-07-11 | 2019-08-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-11 | 2019-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-11 | 2019-08-19 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-07-11 | 2019-08-19 | 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 | 2019-07-11 | 2019-08-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-29 | 2018-02-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-01-29 | 2018-02-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-29 | 2018-02-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-29 | 2018-02-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-01-29 | 2018-02-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-01-29 | 2018-01-29 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2016-12-07 | 2017-01-06 | 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 | 2016-12-07 | 2017-01-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-12-07 | 2017-01-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-07 | 2017-01-06 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-12-07 | 2017-01-06 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-07 | 2017-01-06 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-12-07 | 2017-01-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-07 | 2017-01-06 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-12-07 | 2017-01-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-12-07 | 2017-01-06 | 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 | 2016-12-07 | 2017-01-06 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-05-09 | 2016-05-20 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-05-09 | 2016-05-18 | N |
| Restrictions on the use of flammable curtains. | Fire Safety | 2016-05-09 | 2016-05-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-05-09 | 2016-05-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-09 | 2016-05-13 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-05-09 | 2016-05-10 | N |
| Approved construction type or materials. | Fire Safety | 2016-05-09 | 2016-05-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-09 | 2016-05-09 | N |
