A list of the most recent deficiencies for Lakewood Health System. 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? |
|---|---|---|---|---|
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-11-08 | 2023-11-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-08 | 2023-11-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-08 | 2023-11-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-08 | 2023-11-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-07 | 2023-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-07 | 2023-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-07 | 2023-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-11 | 2023-09-09 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-19 | 2022-08-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-29 | 2022-07-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-29 | 2022-07-26 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-29 | 2022-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-22 | 2020-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-22 | 2020-11-27 | N |
| Post nurse staffing information every day. | Health | 2020-10-22 | 2020-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-22 | 2020-11-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-10-21 | 2020-10-29 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-10-21 | 2020-10-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-21 | 2020-10-22 | N |
