Deficiency Records for Northpoint/lexington Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Northpoint/lexington Healthcare Center. 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 and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-10-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-19 | 2019-10-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-19 | 2019-10-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-19 | 2019-10-22 | N |
| 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 | 2019-09-19 | 2019-10-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-19 | 2019-10-22 | 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 | 2019-09-19 | 2019-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-19 | 2019-10-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-09-19 | 2019-10-22 | N |
| 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 | 2019-09-19 | 2019-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-10-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-19 | 2019-10-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-17 | 2019-10-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-17 | 2019-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-17 | 2019-10-22 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2019-09-17 | 2019-10-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-17 | 2019-10-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-09-17 | 2019-10-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-17 | 2019-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-20 | 2019-01-15 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-20 | 2019-01-15 | 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 | 2018-11-20 | 2019-01-15 | 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 | 2018-11-20 | 2019-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-20 | 2019-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2019-01-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-20 | 2019-01-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-05 | 2018-01-30 | 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 | 2018-01-05 | 2018-01-30 | N |
