Deficiency Records for Lebanon South Nursing and Rehab
Updated as of September 01, 2023
This is not the most recent data for Lebanon South Nursing and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Lebanon South Nursing and Rehab. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-26 | 2023-03-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-15 | 2022-01-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-05 | 2021-05-17 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-05 | 2021-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-05 | 2021-05-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-05 | 2021-05-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-05 | 2021-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-05 | 2021-05-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-08 | 2019-05-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-08 | 2019-05-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-08 | 2019-05-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-21 | 2018-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-21 | 2018-07-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-21 | 2018-07-02 | 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 | 2018-05-21 | 2018-07-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-21 | 2018-07-02 | 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 | 2018-05-21 | 2018-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-21 | 2018-07-02 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-05-21 | 2018-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-21 | 2018-07-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-21 | 2018-07-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-05-21 | 2018-07-02 | N |
