Deficiency Records for Lourdes Rehabilitation and Healthcare Center
Updated as of January 01, 2023
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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-10 | 2022-09-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-11 | 2022-09-07 | 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 | 2022-08-11 | 2022-09-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-11 | 2022-09-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-11 | 2022-09-07 | 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 | 2022-08-10 | 2022-08-10 | 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 | 2022-08-10 | 2022-08-10 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-08-10 | 2022-08-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-10 | 2022-08-10 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-08-10 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-08-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-08-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-01 | 2022-06-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-01 | 2022-06-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-30 | 2021-10-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-19 | 2021-10-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-08-19 | 2021-10-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-19 | 2021-09-16 | Y |
| 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 |
| 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 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 |
| 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 |
| 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 | 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 |
| 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 |
