A list of the most recent deficiencies for The Lodge at Taylor. 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-07 | 2024-02-08 | 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 | 2024-02-07 | 2024-02-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-09 | 2023-11-30 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-10-09 | 2023-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-11 | 2023-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-11 | 2023-10-23 | 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 | 2023-10-11 | 2023-10-23 | 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 | 2023-10-11 | 2023-10-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-09 | 2023-10-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-24 | 2023-09-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-24 | 2023-09-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-24 | 2023-09-05 | 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 | 2022-09-15 | 2022-10-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-02 | 2022-10-03 | 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 | 2022-08-02 | 2022-10-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-02 | 2022-10-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-02 | 2022-10-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-02 | 2022-08-24 | Y |
| 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 | 2022-08-02 | 2022-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-02 | 2022-08-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-02 | 2022-08-24 | Y |
| 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 | 2022-08-02 | 2022-08-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-02 | 2022-08-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-02 | 2022-08-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-08-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-08-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-02 | 2022-08-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-27 | 2022-08-24 | 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 | 2022-07-27 | 2022-08-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-27 | 2022-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-27 | 2022-08-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-27 | 2022-08-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-27 | 2022-08-24 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-07-27 | 2022-08-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-27 | 2022-08-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-05-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-05-19 | 2022-05-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-19 | 2022-05-24 | Y |
| 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 | 2022-03-22 | 2022-04-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-22 | 2022-04-01 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-26 | 2021-09-15 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-08-26 | 2021-09-15 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-26 | 2021-09-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-26 | 2021-09-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-26 | 2021-09-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-07-15 | 2021-09-15 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-07-15 | 2021-08-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-15 | 2021-08-06 | Y |
| 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 | 2021-07-15 | 2021-08-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-15 | 2021-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-15 | 2021-08-06 | Y |
| Provide appropriate foot care. | Health | 2021-07-15 | 2021-08-06 | 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 | 2021-07-15 | 2021-08-06 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-07-15 | 2021-08-06 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-15 | 2021-08-06 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-07-15 | 2021-08-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-07-15 | 2021-08-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-14 | 2021-04-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-05 | 2020-04-03 | 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 | 2020-03-05 | 2020-04-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-03-05 | 2020-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-04-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-05 | 2020-04-03 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-03-05 | 2020-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-05 | 2020-04-03 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-03-05 | 2020-04-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-03-05 | 2020-04-03 | 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 | 2020-03-05 | 2020-04-03 | N |
| Dispose of garbage and refuse properly. | Health | 2020-03-05 | 2020-04-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-03-05 | 2020-04-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Develop a communication plan. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-05 | 2020-04-03 | 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 | 2020-03-05 | 2020-04-03 | 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 | 2020-03-05 | 2020-04-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2020-03-05 | 2020-04-03 | N |
