A list of the most recent deficiencies for Lighthouse Nursing 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-02-21 | 2023-04-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-21 | 2023-04-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-21 | 2023-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-21 | 2023-04-06 | N |
| Have an externally vented heating system. | Fire Safety | 2023-02-21 | 2023-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-09 | 2023-03-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-09 | 2023-03-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-09 | 2023-03-23 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-09 | 2023-03-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-09 | 2023-03-23 | 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 | 2023-02-09 | 2023-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-09 | 2023-03-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-09 | 2023-03-23 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-09 | 2023-03-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-09 | 2023-03-23 | 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 | 2023-02-09 | 2023-03-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-09 | 2023-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-03-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-09 | 2023-03-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-09 | 2023-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-09 | 2023-03-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-09 | 2023-03-23 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-09 | 2023-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-06 | 2022-07-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-06 | 2022-07-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-24 | 2022-05-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-24 | 2022-05-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-05-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-01 | 2021-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-01 | 2021-07-14 | N |
| Have an externally vented heating system. | Fire Safety | 2021-06-01 | 2021-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-13 | 2021-06-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-05-13 | 2021-06-27 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-13 | 2021-06-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-13 | 2021-06-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-13 | 2021-06-27 | 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 | 2021-05-13 | 2021-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-13 | 2021-06-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-13 | 2021-06-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-05-13 | 2021-06-27 | 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 | 2021-05-13 | 2021-06-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-13 | 2021-06-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-13 | 2021-06-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-08 | 2019-10-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-08 | 2019-10-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-05 | 2019-07-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-06-05 | 2019-07-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-05 | 2019-07-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-05 | 2019-07-17 | N |
