Deficiency Records for Lourdes Rehabilitation and Healthcare Center
Updated as of October 01, 2018
This is not the most recent data for Lourdes Rehabilitation and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Lourdes Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-08 | 2018-03-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-02-08 | 2018-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-08 | 2018-03-07 | 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 ne | Health | 2018-02-08 | 2018-03-07 | 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 | 2018-02-08 | 2018-03-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-08 | 2018-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-07 | N |
| Keep all essential equipment working safely. | Health | 2018-02-08 | 2018-03-07 | 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 | 2017-01-25 | 2017-03-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-01-25 | 2017-03-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-01-25 | 2017-03-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-25 | 2017-03-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-01-25 | 2017-03-02 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2017-01-26 | 2017-03-02 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-01-26 | 2017-03-02 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-01-26 | 2017-03-02 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-26 | 2017-03-02 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-26 | 2017-03-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-26 | 2017-03-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-26 | 2017-03-02 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-26 | 2017-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-26 | 2017-03-02 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-01-26 | 2017-03-02 | 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 | 2017-01-26 | 2017-03-02 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-26 | 2017-03-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-26 | 2017-03-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-26 | 2017-03-02 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-01-26 | 2017-03-02 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-01-26 | 2017-03-02 | N |
| 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 | 2017-01-26 | 2017-03-02 | 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 | 2016-08-23 | 2016-09-21 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-26 | 2016-06-10 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-04-26 | 2016-06-10 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-26 | 2016-06-10 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-04-26 | 2016-06-10 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-26 | 2016-06-10 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-03-08 | 2016-04-01 | 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 | 2016-02-24 | 2016-04-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-24 | 2016-04-01 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-24 | 2016-04-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-24 | 2016-04-01 | N |
| Keep all essential equipment working safely. | Health | 2016-02-24 | 2016-04-01 | N |
