A list of the most recent deficiencies for Lochearn Nursing Home, 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-25 | 2019-08-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-06-25 | 2019-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-25 | 2019-08-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-04 | 2019-07-17 | 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 | 2019-06-04 | 2019-07-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-04 | 2019-07-17 | 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 | 2019-06-04 | 2019-07-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-06-04 | 2019-07-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-04 | 2019-07-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-04 | 2019-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-04 | 2019-07-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-04 | 2019-07-17 | 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 | 2019-06-04 | 2019-07-17 | 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 | 2019-06-04 | 2019-07-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-04 | 2019-07-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-04 | 2019-07-17 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-06-04 | 2019-07-17 | N |
| Meet other general requirements. | Fire Safety | 2018-05-16 | 2018-06-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-16 | 2018-06-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-05-16 | 2018-06-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-16 | 2018-06-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-16 | 2018-06-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-05-16 | 2018-06-29 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-03-07 | 2018-04-21 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-03-07 | 2018-04-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-03-07 | 2018-04-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-07 | 2018-04-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-07 | 2018-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-07 | 2018-04-21 | 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 | 2018-03-07 | 2018-04-21 | 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 | 2018-03-07 | 2018-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-07 | 2018-04-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-07 | 2018-04-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-20 | 2017-02-03 | 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 | 2016-12-20 | 2017-02-03 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-12-20 | 2017-02-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-20 | 2017-02-03 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-12-20 | 2017-02-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-20 | 2017-02-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-12-20 | 2017-02-03 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-12-20 | 2017-02-03 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-12-20 | 2017-02-03 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-12-20 | 2017-02-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-20 | 2017-02-03 | 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 | 2016-12-13 | 2017-01-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-12-13 | 2017-01-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-13 | 2017-01-27 | N |
