A list of the most recent deficiencies for Lahser Hills Care Centre. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-07 | 2023-09-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-07 | 2023-09-26 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-06 | 2023-05-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-06 | 2023-05-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-06 | 2023-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-06 | 2023-05-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-21 | 2023-05-08 | 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 | 2023-04-21 | 2023-05-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-21 | 2023-05-08 | 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 | 2023-04-21 | 2023-05-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-04-21 | 2023-05-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-21 | 2023-05-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-21 | 2023-05-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-21 | 2023-05-08 | Y |
| 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 | 2023-04-21 | 2023-05-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-08 | 2023-03-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-08 | 2023-03-17 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-04-28 | 2022-05-03 | Y |
| 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 | 2022-02-09 | 2022-04-12 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-03-29 | 2022-04-12 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-04-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-09 | 2022-03-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-09 | 2022-03-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-09 | 2022-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-09 | 2022-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-09 | 2022-03-09 | 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 | 2022-02-09 | 2022-03-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-09 | 2022-03-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-02-09 | 2022-03-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-02-09 | 2022-03-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-09 | 2022-03-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-09 | 2022-03-09 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-09 | 2022-03-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-09 | 2022-03-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-09 | 2022-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-03-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-10 | 2021-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-10 | 2021-12-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-10 | 2021-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-13 | 2021-09-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-13 | 2021-09-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-13 | 2021-09-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-13 | 2021-09-10 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-13 | 2021-09-10 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-08-13 | 2021-09-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-08 | 2021-04-27 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-04-08 | 2021-04-27 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-04-08 | 2021-04-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-08 | 2021-04-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-04-08 | 2021-04-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-08 | 2021-04-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-08 | 2021-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-08 | 2021-04-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-08 | 2021-04-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-12 | 2020-03-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-12 | 2020-03-23 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-03-12 | 2020-03-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-03-12 | 2020-03-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-12 | 2020-03-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-03-12 | 2020-03-23 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-12 | 2020-03-23 | 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 | 2020-03-12 | 2020-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-12 | 2020-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-12 | 2020-03-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-12 | 2020-03-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-03-23 | 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 | 2020-03-12 | 2020-03-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-03-12 | 2020-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-12 | 2020-03-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-03-12 | 2020-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-03-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-11 | 2020-03-23 | N |
