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Deficiency Records for Wilshire at Lakewood Rehab Center
View the most recent health deficiencies and inspection results for Wilshire at Lakewood Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wilshire at Lakewood Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-11-18 | 2025-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-11-18 | 2025-11-21 | N |
| Dispose of garbage and refuse properly. | Health | 2025-11-18 | 2025-11-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-11-18 | 2025-11-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-11-18 | 2025-11-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-11-18 | 2025-11-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-18 | 2025-11-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-11-18 | 2025-11-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-11-18 | 2025-11-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-11-18 | 2025-11-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-11-18 | 2025-11-21 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2025-11-18 | 2025-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-18 | 2025-11-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-11-18 | 2025-11-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-11-18 | 2025-11-21 | 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 | 2025-11-18 | 2024-11-08 | Y |
| 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 | 2023-11-21 | 2024-01-05 | N |
| Provide appropriate foot care. | Health | 2023-11-21 | 2024-01-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-21 | 2024-01-05 | 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 | 2023-11-21 | 2024-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-21 | 2024-01-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-21 | 2024-01-05 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-11-21 | 2024-01-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-21 | 2024-01-05 | 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 | 2023-11-21 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-21 | 2024-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-21 | 2024-01-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-21 | 2024-01-05 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-21 | 2024-01-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-22 | 2022-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-22 | 2022-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-22 | 2022-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-22 | 2022-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-04-29 | 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 | 2022-03-22 | 2022-04-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-22 | 2022-04-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-22 | 2022-04-29 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-22 | 2022-04-29 | 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 | 2022-03-22 | 2022-04-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-22 | 2022-04-29 | 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 | 2022-03-22 | 2022-04-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-22 | 2022-04-29 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-22 | 2022-04-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-22 | 2022-04-29 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-03-22 | 2022-04-29 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-22 | 2022-02-25 | N |