Deficiency Records for The Estates at Lynnhurst LLC
Updated as of September 01, 2023
This is not the most recent data for The Estates at Lynnhurst LLC. For the most recent information, click here.
A list of the most recent deficiencies for The Estates at Lynnhurst 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? |
|---|---|---|---|---|
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-07-07 | 2023-07-27 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-11 | 2023-06-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-11 | 2023-06-20 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-21 | 2023-02-15 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-05-10 | 2022-06-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-14 | 2022-06-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-25 | 2022-02-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-02-22 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-25 | 2022-02-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-14 | 2021-12-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-14 | 2021-12-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-14 | 2021-12-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-14 | 2021-12-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-14 | 2021-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-03 | 2021-08-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-27 | 2021-07-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-11 | 2021-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-29 | 2021-03-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-01-29 | 2021-03-17 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-29 | 2019-10-08 | 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 | 2019-08-29 | 2019-10-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-29 | 2019-10-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-29 | 2019-10-08 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-29 | 2019-10-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-29 | 2019-10-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-29 | 2019-10-08 | 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 | 2019-08-29 | 2019-10-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-29 | 2019-10-08 | N |
| Post nurse staffing information every day. | Health | 2019-08-29 | 2019-10-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-29 | 2019-10-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-29 | 2019-10-08 | 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 | 2019-08-29 | 2019-10-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-29 | 2019-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-29 | 2019-10-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-29 | 2019-10-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-29 | 2019-10-08 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-08-29 | 2019-10-08 | N |
