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Deficiency Records for Hidden Lake Health Care Center
View the most recent health deficiencies and inspection results for Hidden Lake Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hidden Lake Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-22 | 2026-05-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-30 | 2025-05-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-25 | 2025-03-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-25 | 2025-03-11 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-12-11 | 2025-02-10 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-12-11 | 2025-02-07 | Y |
| 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 | 2024-08-19 | 2024-11-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-10-08 | 2024-11-15 | Y |
| 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 | 2024-08-19 | 2024-11-15 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-08-19 | 2024-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-19 | 2024-11-15 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-08-19 | 2024-11-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-19 | 2024-11-15 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-08-19 | 2024-10-08 | 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 | 2024-08-19 | 2024-10-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-19 | 2024-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-19 | 2024-10-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-19 | 2024-10-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-19 | 2024-10-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-19 | 2024-10-03 | 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 | 2024-08-19 | 2024-10-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-19 | 2024-10-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-19 | 2024-10-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-08-19 | 2024-10-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-08-19 | 2024-10-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-08-19 | 2024-10-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-19 | 2024-10-03 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-19 | 2024-10-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-19 | 2024-10-03 | 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 | 2024-08-19 | 2024-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-19 | 2024-10-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-19 | 2024-10-03 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-08-19 | 2024-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-10-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-30 | 2024-10-03 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-19 | 2024-10-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-19 | 2024-10-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-19 | 2024-10-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-04 | 2024-07-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-04 | 2024-07-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-06-04 | 2024-07-10 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-02 | 2024-05-17 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-02 | 2024-05-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-08-23 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-28 | 2023-04-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-28 | 2023-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-28 | 2023-02-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-28 | 2022-12-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-28 | 2022-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-28 | 2022-12-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-28 | 2022-12-21 | 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 | 2022-10-28 | 2022-12-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-10-28 | 2022-12-13 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-10-28 | 2022-12-13 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-10-28 | 2022-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-12-08 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-28 | 2022-12-08 | 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 | 2022-10-28 | 2022-12-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-28 | 2022-12-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-28 | 2022-12-08 | 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 | 2022-10-28 | 2022-12-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-28 | 2022-12-08 | N |
| Post nurse staffing information every day. | Health | 2022-10-28 | 2022-12-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-10-28 | 2022-12-08 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-10-28 | 2022-12-08 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-10-28 | 2022-12-08 | 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 | 2022-10-28 | 2022-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-28 | 2022-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-28 | 2022-12-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-28 | 2022-12-08 | 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 | 2022-10-28 | 2022-12-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-28 | 2022-12-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-28 | 2022-12-08 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-10-28 | 2022-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-28 | 2022-12-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-27 | 2019-11-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-27 | 2019-11-14 | 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 | 2019-08-27 | 2019-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-27 | 2019-11-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-27 | 2019-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-27 | 2019-10-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-08-27 | 2019-10-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-27 | 2019-10-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-27 | 2019-10-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-27 | 2019-10-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-08-27 | 2019-10-11 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-27 | 2019-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-27 | 2019-10-11 | 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 | 2019-08-27 | 2019-10-11 | 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 | 2019-08-27 | 2019-10-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-27 | 2019-10-11 | 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 | 2019-08-27 | 2019-10-11 | 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 | 2019-08-27 | 2019-10-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-27 | 2019-10-11 | 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 | 2019-08-27 | 2019-10-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-08-27 | 2019-10-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-27 | 2019-10-11 | N |