A list of the most recent deficiencies for Lorien Bulle Rock. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-08 | 2022-08-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-28 | 2022-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-28 | 2022-08-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-28 | 2022-08-01 | N |
| Post nurse staffing information every day. | Health | 2022-06-28 | 2022-08-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-28 | 2022-08-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-05 | 2018-11-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-05 | 2018-11-21 | 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 | 2018-10-05 | 2018-11-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-05 | 2018-11-21 | 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 | 2018-10-05 | 2018-11-21 | 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 | 2018-10-05 | 2018-11-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-05 | 2018-11-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-05 | 2018-11-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-05 | 2018-11-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-05 | 2018-11-21 | N |
| Provide appropriate foot care. | Health | 2018-10-05 | 2018-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-05 | 2018-11-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-05 | 2018-11-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-05 | 2018-11-21 | 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 | 2018-10-05 | 2018-11-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-05 | 2018-11-21 | 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 | 2018-10-05 | 2018-11-21 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-10-05 | 2018-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-05 | 2018-11-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-05 | 2018-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-05 | 2018-11-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-07-12 | 2017-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-12 | 2017-08-08 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-07-12 | 2017-08-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-29 | 2017-08-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-29 | 2017-08-01 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-29 | 2017-08-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-29 | 2017-08-01 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-29 | 2017-08-01 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-06-29 | 2017-08-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-29 | 2017-08-01 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-06-29 | 2017-08-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-29 | 2017-08-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-29 | 2017-08-01 | N |
