CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lakeside Manor Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Lakeside Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lakeside Manor Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| 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 | 2026-04-15 | 2026-04-24 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-06 | 2026-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-06 | 2026-03-05 | 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 | 2026-02-06 | 2026-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-06 | 2026-03-05 | 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 | 2026-02-06 | 2026-03-05 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2026-02-06 | 2026-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-06 | 2026-03-05 | N |
| Dispose of garbage and refuse properly. | Health | 2026-02-06 | 2026-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-06 | 2026-03-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-06 | 2026-03-05 | Y |
| 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 | 2026-02-06 | 2026-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-06 | 2025-09-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-08-06 | 2025-09-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-06 | 2025-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-06 | 2025-09-19 | 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 | 2025-08-06 | 2025-09-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-08-06 | 2025-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-06 | 2025-09-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-06 | 2025-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-06 | 2025-09-19 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-08-06 | 2025-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-06 | 2025-09-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-06 | 2025-09-12 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-08-06 | 2025-09-12 | 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 | 2025-08-06 | 2025-09-12 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-06 | 2025-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-06 | 2025-09-12 | 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 | 2025-08-06 | 2025-09-12 | N |
| Dispose of garbage and refuse properly. | Health | 2025-08-06 | 2025-09-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-08-06 | 2025-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-06 | 2025-09-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-08-06 | 2025-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-03 | 2025-03-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-03 | 2025-03-28 | 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 | 2025-01-21 | 2025-02-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-19 | 2024-09-30 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-09-19 | 2024-09-30 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-16 | 2024-09-06 | 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 | 2024-07-16 | 2024-09-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-16 | 2024-09-06 | 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 | 2024-07-16 | 2024-09-06 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-07-16 | 2024-09-06 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-16 | 2024-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-16 | 2024-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-16 | 2024-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-16 | 2024-09-06 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-16 | 2024-09-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-16 | 2024-09-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-16 | 2024-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-16 | 2024-09-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-16 | 2024-09-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-07-16 | 2024-09-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-07-16 | 2024-09-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-16 | 2024-09-04 | N |
| Keep all essential equipment working safely. | Health | 2024-07-16 | 2024-08-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-16 | 2024-08-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-16 | 2024-08-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-16 | 2024-08-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-16 | 2024-08-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-16 | 2024-08-08 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-07-16 | 2024-08-08 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-07-16 | 2024-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-08-08 | Y |
| 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 | 2024-07-16 | 2024-08-08 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-16 | 2024-08-08 | Y |
| Post nurse staffing information every day. | Health | 2024-07-16 | 2024-08-08 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-16 | 2024-08-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-16 | 2024-08-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-16 | 2024-08-08 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-07-16 | 2024-08-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-16 | 2024-08-08 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-16 | 2024-08-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-16 | 2024-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-16 | 2024-08-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-16 | 2024-08-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-07-16 | 2024-08-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-16 | 2024-08-08 | 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 | 2024-07-16 | 2024-08-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-16 | 2024-08-08 | 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 | 2024-07-16 | 2024-08-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-16 | 2024-08-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-16 | 2024-08-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-29 | 2024-03-18 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-09 | 2023-10-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-09 | 2023-10-25 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-28 | 2023-07-12 | 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 | 2023-06-28 | 2023-07-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-28 | 2023-07-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-28 | 2023-07-12 | Y |