Deficiency Records for Lenawee Medical Care Facility
Updated as of October 01, 2018
This is not the most recent data for Lenawee Medical Care Facility. For the most recent information, click here.
A list of the most recent deficiencies for Lenawee Medical Care Facility. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-05-09 | 2018-06-11 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-05-09 | 2018-06-11 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-05-09 | 2018-06-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-09 | 2018-06-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-05-09 | 2018-06-11 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-10-18 | 2017-11-14 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-10-18 | 2017-11-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-18 | 2017-11-14 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-10-18 | 2017-11-14 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-10-18 | 2017-11-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-18 | 2017-11-14 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-10-18 | 2017-11-14 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-18 | 2017-11-14 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-10-17 | 2017-11-02 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-11-17 | 2017-02-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-11-17 | 2017-02-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2016-11-16 | 2016-12-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2016-11-16 | 2016-12-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-16 | 2016-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-16 | 2016-12-24 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-11-17 | 2016-12-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-17 | 2016-12-24 | N |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2016-11-17 | 2016-12-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-17 | 2016-12-24 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-11-17 | 2016-12-24 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-11 | 2016-04-10 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-11 | 2016-04-10 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-11 | 2016-04-10 | N |
| Portable fire extinguishers. | Fire Safety | 2016-02-11 | 2016-04-10 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-02-11 | 2016-04-10 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-12-16 | 2016-02-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-16 | 2016-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-16 | 2016-02-01 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-12-16 | 2016-02-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-16 | 2016-02-01 | N |
