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Deficiency Records for Ecumen Lakeshore
View the most recent health deficiencies and inspection results for Ecumen Lakeshore. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Ecumen Lakeshore. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-07 | 2025-09-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-07 | 2025-09-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-07 | 2025-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-07 | 2025-08-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-08-07 | 2025-08-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-07 | 2025-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-07 | 2025-08-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-07 | 2025-08-22 | 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 | 2024-06-13 | 2024-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-13 | 2024-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-13 | 2024-06-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-06-13 | 2024-06-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-13 | 2024-06-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-13 | 2024-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-06-25 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-08 | 2023-10-09 | 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 | 2023-09-08 | 2023-10-09 | 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 | 2023-09-08 | 2023-10-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-08 | 2023-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-08 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-08 | 2023-10-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-08 | 2023-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-08 | 2023-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-08 | 2023-09-25 | 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 | 2023-09-08 | 2023-09-25 | N |