A list of the most recent deficiencies for Lakewood Care Center. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-01 | 2023-10-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-02 | 2023-10-02 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-02 | 2023-10-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-02 | 2023-10-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-02 | 2023-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-02 | 2023-09-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-02 | 2023-09-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-02 | 2023-08-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-01 | 2023-08-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-01 | 2023-08-24 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-24 | 2023-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-05-24 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-18 | 2022-10-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-18 | 2022-10-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-08-18 | 2022-10-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-18 | 2022-10-17 | 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 | 2022-08-18 | 2022-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-10-17 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-17 | 2022-08-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-17 | 2022-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-17 | 2022-08-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-09 | 2021-09-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-09 | 2021-09-10 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-15 | 2021-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-15 | 2021-05-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-15 | 2021-05-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-15 | 2021-05-18 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-04-14 | 2021-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-14 | 2021-04-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-14 | 2021-04-16 | N |
