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Deficiency Records for Lakeshore Manor Nursing and Rehab
View the most recent health deficiencies and inspection results for Lakeshore Manor Nursing and Rehab . Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lakeshore Manor Nursing and Rehab . Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-03-14 | 2026-04-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2026-03-14 | 2026-04-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-10 | 2026-01-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-10 | 2026-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-10 | 2026-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-10 | 2026-01-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-10 | 2026-01-19 | 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 | 2025-12-10 | 2026-01-19 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-12-10 | 2026-01-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-02 | 2025-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-02 | 2025-07-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-07-02 | 2025-07-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-24 | 2025-04-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-24 | 2025-04-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-24 | 2025-04-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-24 | 2025-04-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-12 | 2025-02-12 | 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 | 2025-01-12 | 2025-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-12 | 2025-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-12 | 2025-02-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-12 | 2025-02-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-12 | 2025-02-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-12 | 2025-02-12 | 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 | 2025-01-12 | 2025-02-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-12 | 2025-02-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-12 | 2025-02-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-01-12 | 2025-02-12 | 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 | 2024-07-09 | 2024-09-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-07-09 | 2024-09-11 | 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 | 2024-08-27 | 2024-09-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-27 | 2024-09-06 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-27 | 2024-09-06 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-08-27 | 2024-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-09 | 2024-08-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-17 | 2024-08-16 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-07-09 | 2024-08-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-09 | 2024-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-09 | 2024-08-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-17 | 2024-08-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-13 | 2024-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-04 | 2023-12-22 | 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 | 2023-10-26 | 2023-11-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-08 | 2023-10-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-16 | 2023-09-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-08 | 2023-08-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-08 | 2023-08-26 | 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 | 2023-08-08 | 2023-08-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-08 | 2023-08-26 | Y |