CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lions Rehab Center
View the most recent health deficiencies and inspection results for Lions Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lions Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2025-10-29 | 2025-11-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-10-29 | 2025-11-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-29 | 2025-07-02 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-29 | 2025-07-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-29 | 2025-07-02 | 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 | 2025-05-29 | 2025-07-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-29 | 2025-07-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-29 | 2025-07-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-29 | 2025-07-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-29 | 2025-07-02 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2025-01-17 | 2025-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-17 | 2025-02-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-17 | 2025-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-17 | 2025-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-17 | 2025-02-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-17 | 2025-02-10 | 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 | 2025-01-17 | 2025-02-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-01-17 | 2025-02-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-17 | 2025-02-07 | 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 | 2025-01-17 | 2025-02-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-01-17 | 2025-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-17 | 2025-02-07 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2025-01-17 | 2025-02-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-17 | 2025-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-17 | 2025-02-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-01-17 | 2025-02-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-17 | 2025-02-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-17 | 2025-02-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-17 | 2025-02-07 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2025-01-17 | 2025-02-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-17 | 2025-02-07 | 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 | 2025-01-17 | 2025-02-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-17 | 2025-02-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-17 | 2025-02-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-01-17 | 2025-02-07 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-01-17 | 2025-02-07 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2025-01-17 | 2025-02-07 | 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 | 2025-01-17 | 2025-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-17 | 2025-02-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-17 | 2025-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-17 | 2025-02-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-17 | 2025-02-07 | 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 | 2025-01-17 | 2025-02-07 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-01-17 | 2025-02-07 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-01-17 | 2025-02-07 | N |
| 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 | 2025-01-17 | 2025-02-07 | 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 | 2023-03-22 | 2023-06-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-22 | 2023-06-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-22 | 2023-05-23 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-03-22 | 2023-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-22 | 2023-05-23 | 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 | 2023-03-22 | 2023-05-23 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-22 | 2023-05-23 | 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 | 2023-03-22 | 2023-05-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-22 | 2023-05-23 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-03-22 | 2023-05-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-22 | 2023-05-23 | 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 | 2023-03-22 | 2023-05-23 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-22 | 2023-05-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-22 | 2023-05-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-22 | 2023-05-23 | 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 | 2023-03-22 | 2023-05-23 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-22 | 2023-05-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-22 | 2023-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-05-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-22 | 2023-05-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-22 | 2023-05-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-22 | 2023-05-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-22 | 2023-05-23 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-03-22 | 2023-05-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-22 | 2023-05-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-22 | 2023-05-23 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-03-22 | 2023-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-22 | 2023-05-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-22 | 2023-05-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-22 | 2023-05-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-22 | 2023-05-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-22 | 2023-05-09 | 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 | 2023-03-22 | 2023-05-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-22 | 2023-05-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-05-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-22 | 2023-05-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-22 | 2023-05-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-22 | 2023-05-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-22 | 2023-05-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-22 | 2023-05-09 | 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 | 2018-11-29 | 2019-02-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-29 | 2019-02-08 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-11-29 | 2019-02-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-11-29 | 2019-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2019-02-06 | 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 | 2018-11-29 | 2019-02-06 | 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 | 2018-11-29 | 2019-02-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-29 | 2019-02-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-29 | 2019-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-29 | 2019-02-06 | 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 | 2018-11-29 | 2019-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2019-02-06 | 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 | 2018-11-29 | 2019-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-29 | 2019-02-06 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2018-11-29 | 2019-02-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-29 | 2019-02-06 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-11-29 | 2019-02-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-29 | 2019-02-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-29 | 2019-02-06 | 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 | 2018-11-29 | 2019-02-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-29 | 2019-02-06 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-11-29 | 2019-02-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-29 | 2019-02-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-29 | 2019-02-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-27 | Not Fixed | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-27 | Not Fixed | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-27 | Not Fixed | 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 | 2026-03-27 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-27 | Not Fixed | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-27 | Not Fixed | Y |