Deficiency Records for Lourdes Rehabilitation and Healthcare Center
Updated as of April 01, 2021
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? |
---|---|---|---|---|
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-12-03 | 2021-02-12 | N |
Provide and implement an infection prevention and control program. | Health | 2020-12-03 | 2021-01-14 | N |
Provide and implement an infection prevention and control program. | Health | 2020-08-04 | 2020-09-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-08-05 | 2020-09-17 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-08-05 | 2020-09-17 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-08-05 | 2020-09-17 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-17 | 2019-05-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-19 | 2019-05-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-19 | 2019-05-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-19 | 2019-05-16 | 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 | 2019-04-17 | 2019-05-16 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-04-17 | 2019-05-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-17 | 2019-05-16 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-17 | 2019-05-16 | 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 | 2019-04-17 | 2019-05-16 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-17 | 2019-05-16 | N |
Provide or obtain dental services for each resident. | Health | 2019-04-17 | 2019-05-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-17 | 2019-05-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-17 | 2019-05-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-27 | 2019-03-19 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-09-05 | 2018-09-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-28 | 2018-09-20 | Y |
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 necessary and PRN use is limited. | 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 |
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 | 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 |