Deficiency Records for Hidden Lake Care Center
Updated as of March 01, 2019
This is not the most recent data for Hidden Lake Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Hidden Lake 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-18 | 2019-01-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-10-18 | 2019-01-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2019-01-16 | 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 | 2018-10-18 | 2018-12-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-10-18 | 2018-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-18 | 2018-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-18 | 2018-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-18 | 2018-12-20 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-10-18 | 2018-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-18 | 2018-12-20 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-10-18 | 2018-12-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-10-18 | 2018-12-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-10-18 | 2018-12-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-10-18 | 2018-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2018-12-20 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Be properly staffed | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-18 | 2018-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-14 | 2018-08-01 | N |
| Use approved construction type or materials. | Fire Safety | 2018-03-14 | 2018-06-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-03-14 | 2018-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-14 | 2018-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-14 | 2018-06-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-14 | 2018-06-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-14 | 2018-06-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-05-04 | 2018-06-10 | Y |
| 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 | 2018-03-14 | 2018-06-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-14 | 2018-06-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-03-14 | 2018-06-10 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-14 | 2018-04-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-03-14 | 2018-04-27 | 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 | 2018-03-14 | 2018-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-14 | 2018-04-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-03-14 | 2018-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-14 | 2018-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-14 | 2018-04-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-14 | 2018-04-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-03-14 | 2018-04-27 | 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 | 2018-03-14 | 2018-04-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-14 | 2018-04-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-14 | 2018-04-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-14 | 2018-04-27 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-03-14 | 2018-04-27 | 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 ne | Health | 2018-03-14 | 2018-04-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-14 | 2018-04-27 | 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 | 2018-03-14 | 2018-04-27 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedul | Health | 2018-03-14 | 2018-04-27 | N |
| Dispose of garbage and refuse properly. | Health | 2018-03-14 | 2018-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-14 | 2018-04-27 | N |
| Keep all essential equipment working safely. | Health | 2018-03-14 | 2018-04-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-14 | 2018-04-27 | N |
| Respond appropriately to all alleged violations. | Health | 2017-12-01 | 2018-01-05 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-10-10 | 2018-01-05 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2017-10-10 | 2018-01-05 | N |
| Use approved construction type or materials. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-10 | 2017-12-01 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-10-10 | 2017-12-01 | N |
| Try to resolve each resident's complaints quickly. | Health | 2017-10-10 | 2017-12-01 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2017-10-10 | 2017-12-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-10-10 | 2017-12-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-10-10 | 2017-12-01 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-10 | 2017-12-01 | N |
| Evaluate a resident?s decrease in social interaction or increase in depressive behaviors and determine if the behavioral changes were avoidable if these problems did not exist before. | Health | 2017-10-10 | 2017-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-10 | 2017-12-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-10 | 2017-12-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-10 | 2017-12-01 | N |
| Keep all essential equipment working safely. | Health | 2017-10-10 | 2017-12-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-10 | 2017-12-01 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-10-10 | 2017-12-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-10-10 | 2017-12-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-21 | 2017-01-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-26 | 2017-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-26 | 2017-01-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-26 | 2016-12-02 | Y |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2016-10-26 | 2016-12-02 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-26 | 2016-12-02 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-30 | 2016-06-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-04-30 | 2016-06-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-09 | 2016-06-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-09 | 2016-06-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-09 | 2016-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-09 | 2016-04-21 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-03-31 | 2016-04-19 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-31 | 2016-04-19 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-03-31 | 2016-04-19 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-03-31 | 2016-04-19 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-31 | 2016-04-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-22 | Not Fixed | Y |
