Deficiency Records for The Villages of Lapeer Nursing and Rehabilitation
Updated as of May 01, 2024
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Deficiency Records for The Villages of Lapeer Nursing and Rehabilitation
A list of the most recent deficiencies for The Villages of Lapeer Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Villages of Lapeer Nursing and Rehabilitation. 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? |
---|---|---|---|---|
Meet other general requirements. | Fire Safety | 2023-06-06 | 2023-06-24 | Y |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-06-06 | 2023-06-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-07 | 2023-02-20 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-07 | 2023-02-20 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-02-07 | 2023-02-20 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-07 | 2023-02-20 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-07 | 2023-02-20 | 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 | 2023-02-02 | 2023-02-20 | 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 | 2023-02-02 | 2023-02-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-10 | 2022-11-09 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-10 | 2022-08-25 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-10 | 2022-08-25 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-03 | 2022-08-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-03 | 2022-08-19 | 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 | 2022-08-03 | 2022-08-19 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-03-17 | 2022-04-01 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-02-03 | 2022-02-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-03 | 2022-02-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-02-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-03 | 2022-02-23 | 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 | 2022-02-03 | 2022-02-23 | 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 | 2022-02-03 | 2022-02-23 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-23 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-03 | 2022-02-23 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2022-02-03 | 2022-02-23 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-02-03 | 2022-02-23 | 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 | 2022-02-03 | 2022-02-23 | N |
Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-02-03 | 2022-02-23 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-06-16 | 2021-07-09 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-16 | 2021-07-09 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-16 | 2021-07-09 | Y |
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