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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-07 | 2023-08-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-07 | 2023-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-07 | 2023-08-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-07 | 2023-08-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-06 | 2023-08-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-06 | 2023-08-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-06 | 2023-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-06 | 2023-08-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-07 | 2023-07-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-23 | 2021-08-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-24 | 2021-08-16 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-06-24 | 2021-08-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-24 | 2021-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-24 | 2021-08-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-24 | 2021-08-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-23 | 2021-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-23 | 2021-08-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-23 | 2021-08-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-23 | 2021-08-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-06-23 | 2021-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-23 | 2021-08-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-23 | 2021-08-16 | N |
| 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 an enclosure around a vertical opening shaft. | 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 |
