A list of the most recent deficiencies for Lakewood A Continuing Care 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-31 | 2023-10-06 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-31 | 2023-10-06 | 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 | 2023-08-31 | 2023-10-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-31 | 2023-10-06 | 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 | 2023-08-31 | 2023-10-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-31 | 2023-10-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-31 | 2023-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-31 | 2023-10-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-31 | 2023-10-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-31 | 2023-10-06 | 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 | 2023-08-31 | 2023-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-31 | 2023-10-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-31 | 2023-10-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-31 | 2023-10-06 | N |
| Post nurse staffing information every day. | Health | 2023-08-31 | 2023-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-10-06 | N |
| Keep all essential equipment working safely. | Health | 2023-08-31 | 2023-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-29 | 2023-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-29 | 2023-09-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-29 | 2023-09-01 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-11-29 | 2022-01-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-29 | 2022-01-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-29 | 2022-01-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-02 | 2022-01-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-02 | 2022-01-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-12-02 | 2022-01-05 | 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 | 2021-12-02 | 2022-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2022-01-05 | 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 | 2021-11-29 | 2021-12-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-11-29 | 2021-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-29 | 2021-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-29 | 2021-12-11 | N |
| Establish methods for sharing information. | Fire Safety | 2021-11-29 | 2021-12-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-29 | 2021-12-10 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-11-29 | 2021-12-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-11-29 | 2021-12-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-29 | 2021-12-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-12 | 2020-02-12 | 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 | 2019-12-12 | 2020-02-12 | 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 | 2019-12-12 | 2020-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-02-12 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2019-12-11 | 2020-01-03 | 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 | 2019-12-11 | 2020-01-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-11 | 2020-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-11 | 2020-01-03 | N |
