Deficiency Records for Ecumen Lakeshore

(Home page)

Updated as of April 01, 2021

This is not the most recent data for Ecumen Lakeshore. For the most recent information, click here.

A list of the most recent deficiencies for Ecumen Lakeshore. 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 and implement an infection prevention and control program. Health 2020-08-13 2020-09-21 Y
Provide and implement an infection prevention and control program. Health 2020-06-24 2020-07-24 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-03-20 2019-04-29 N
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 2019-03-20 2019-04-29 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-03-20 2019-04-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-03-20 2019-04-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-03-20 2019-04-29 N
Implement a program that monitors antibiotic use. Health 2019-03-20 2019-04-29 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-03-20 2019-04-29 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2018-07-12 2018-08-13 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 2018-07-12 2018-08-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-07-12 2018-08-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-07-12 2018-08-13 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-07-12 2018-08-13 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 2018-07-12 2018-08-13 N
Provide and implement an infection prevention and control program. Health 2018-07-12 2018-08-13 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2018-07-12 2018-08-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-06-01 2018-06-04 Y
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Health 2017-08-16 2017-09-19 N
Provide care by qualified persons according to each resident's written plan of care. Health 2017-08-16 2017-09-19 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-08-16 2017-09-19 N
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Health 2017-08-16 2017-09-19 N
Have a program that investigates, controls and keeps infection from spreading. Health 2017-08-16 2017-09-19 N