Deficiency Records for Lourdes Rehabilitation and Healthcare Center
Updated as of September 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? |
|---|---|---|---|---|
| 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 | 2021-05-06 | 2021-05-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-06 | 2021-05-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-05-06 | 2021-05-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-06 | 2021-05-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-06 | 2021-05-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-06 | 2021-05-29 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-05-06 | 2021-05-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-06 | 2021-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-05-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-08 | 2021-04-30 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-04-08 | 2021-04-30 | Y |
| 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 |
| 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 |
