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Deficiency Records for Great Lakes Rehabilitation Center
View the most recent health deficiencies and inspection results for Great Lakes Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Great Lakes Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2026-01-14 | 2026-02-22 | 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 | 2026-01-14 | 2026-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-14 | 2026-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-14 | 2026-02-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-01-14 | 2026-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-14 | 2026-02-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-01-14 | 2026-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-14 | 2026-02-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-01-14 | 2026-02-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2026-01-14 | 2026-02-12 | 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 | 2026-01-14 | 2026-02-12 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-14 | 2026-02-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-14 | 2026-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-14 | 2026-02-12 | 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 | 2026-01-14 | 2026-02-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-01-14 | 2026-02-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-01-14 | 2026-02-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-14 | 2026-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-14 | 2026-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-14 | 2026-02-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-14 | 2026-02-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-01-14 | 2026-02-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2026-01-14 | 2026-02-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-01-14 | 2026-01-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-18 | 2025-03-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-18 | 2025-03-17 | 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 | 2024-11-21 | 2025-02-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-21 | 2025-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-21 | 2025-02-03 | 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 | 2024-11-21 | 2025-02-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-11-21 | 2025-02-03 | 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 | 2024-11-21 | 2025-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-21 | 2025-02-03 | 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 | 2024-11-21 | 2025-01-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-05 | 2024-01-08 | N |
| Post nurse staffing information every day. | Health | 2023-12-05 | 2024-01-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-05 | 2024-01-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-05 | 2024-01-08 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-05 | 2024-01-08 | 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 | 2023-12-05 | 2024-01-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-12-05 | 2024-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-05 | 2024-01-08 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-05 | 2024-01-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-05 | 2024-01-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-12-05 | 2024-01-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-05 | 2024-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-05 | 2024-01-08 | 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 | 2023-12-05 | 2024-01-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-05 | 2024-01-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-05 | 2024-01-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-05 | 2024-01-08 | 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 | 2023-12-05 | 2024-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2024-01-08 | N |