Deficiency Records for Hidden Lake Care Center
Updated as of January 01, 2022
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? |
|---|---|---|---|---|
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-05-03 | 2021-06-17 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-03-02 | 2021-03-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-02 | 2021-03-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-02 | 2021-03-09 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2021-01-05 | 2021-03-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-01-05 | 2021-03-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-01-05 | 2021-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-05 | 2021-02-09 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-07-31 | 2020-10-15 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-27 | 2020-03-31 | 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 | 2020-02-27 | 2020-03-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-27 | 2020-03-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-27 | 2020-03-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-27 | 2020-03-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-27 | 2020-03-31 | 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 | 2020-02-27 | 2020-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-27 | 2020-03-31 | 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 | 2020-02-27 | 2020-03-31 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-27 | 2020-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-03-31 | 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 | 2020-02-27 | 2020-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-03-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-27 | 2020-03-31 | 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 | 2020-02-27 | 2020-03-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-27 | 2020-03-31 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2020-02-27 | 2020-03-31 | 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 | 2020-02-27 | 2020-03-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-27 | 2020-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-03-31 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-27 | 2020-03-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-18 | 2020-01-17 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-18 | 2020-01-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-22 | 2019-06-20 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-03-22 | 2019-05-01 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-03-22 | 2019-05-01 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-03-22 | 2019-05-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-03-22 | 2019-05-01 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-03-22 | 2019-05-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-22 | 2019-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-05-01 | N |
| Post nurse staffing information every day. | Health | 2019-03-22 | 2019-05-01 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-03-22 | 2019-05-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-22 | 2019-05-01 | 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 | 2019-03-22 | 2019-05-01 | 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 | 2019-03-22 | 2019-05-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-22 | 2019-05-01 | 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 scheduled meal times. | Health | 2019-03-22 | 2019-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-22 | 2019-05-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-22 | 2019-05-01 | 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 | 2019-03-22 | 2019-05-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-22 | 2019-05-01 | N |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
