Deficiency Records for Lakeview Health Care and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Lakeview Health Care and Rehabilitation 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? |
|---|---|---|---|---|
| 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 | 2023-06-27 | 2023-08-15 | 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 | 2023-06-27 | 2023-08-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-27 | 2023-08-15 | 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 | 2023-06-27 | 2023-08-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-27 | 2023-08-15 | 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 | 2023-06-27 | 2023-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-27 | 2023-08-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-27 | 2023-08-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-27 | 2023-08-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-27 | 2023-08-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-27 | 2023-08-15 | 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 | 2023-06-27 | 2023-07-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-27 | 2023-07-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-27 | 2023-07-20 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-06-27 | 2023-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-07-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-27 | 2023-07-15 | 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 | 2023-06-27 | 2023-07-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-27 | 2023-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-27 | 2023-07-10 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-06-27 | 2023-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-27 | 2023-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-27 | 2023-07-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-27 | 2023-07-10 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-06-27 | 2023-06-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-27 | 2023-06-27 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-09-24 | 2021-11-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-24 | 2021-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-24 | 2021-11-04 | 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 | 2021-09-24 | 2021-11-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-09-24 | 2021-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-11-04 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-24 | 2021-11-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-24 | 2021-11-04 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-09-24 | 2021-11-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-24 | 2021-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-24 | 2021-11-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-24 | 2021-11-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-24 | 2021-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-24 | 2021-11-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-09-24 | 2021-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-27 | 2021-06-25 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-01-29 | 2019-03-12 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-01-29 | 2019-03-12 | 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 | 2019-01-29 | 2019-03-12 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2019-01-29 | 2019-03-12 | N |
| Provide activities to meet all resident's needs. | Health | 2019-01-29 | 2019-03-12 | 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 | 2019-01-29 | 2019-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-29 | 2019-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-29 | 2019-03-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-29 | 2019-03-12 | N |
