Deficiency Records for Lakeshore Rehabilitation Center LLC
Updated as of March 01, 2021
This is not the most recent data for Lakeshore Rehabilitation Center LLC. For the most recent information, click here.
A list of the most recent deficiencies for Lakeshore Rehabilitation Center LLC. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-31 | 2019-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-31 | 2019-07-19 | 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 | 2019-05-31 | 2019-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-30 | 2019-06-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-05-30 | 2019-06-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-31 | 2019-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-30 | 2019-06-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-03-08 | 2018-04-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-03-08 | 2018-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-08 | 2018-04-19 | 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 | 2018-03-08 | 2018-04-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-08 | 2018-04-19 | 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 | 2018-03-08 | 2018-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-07 | 2018-04-11 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-03-08 | 2018-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-08 | 2018-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-07 | 2018-03-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-21 | 2017-07-20 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-23 | 2017-07-20 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-23 | 2017-07-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-23 | 2017-07-14 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-23 | 2017-07-14 | N |
