CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for The Estates of Spanish Lake
View the most recent health deficiencies and inspection results for The Estates of Spanish Lake. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Estates of Spanish Lake. 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 | 2025-04-25 | 2025-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-25 | 2025-09-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-17 | 2025-08-20 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-04-25 | 2025-07-01 | 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 | 2025-04-25 | 2025-06-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-04-25 | 2025-06-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-04-25 | 2025-06-05 | N |
| 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 | 2025-04-25 | 2025-06-05 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-04-25 | 2025-06-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-04-25 | 2025-06-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-25 | 2025-06-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-25 | 2025-06-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-25 | 2025-06-05 | 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 | 2025-04-25 | 2025-06-05 | 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 | 2025-04-25 | 2025-06-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-25 | 2025-06-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-25 | 2025-06-05 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2025-04-25 | 2025-06-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-25 | 2025-06-05 | Y |
| Use approved construction type or materials. | Fire Safety | 2025-04-25 | 2025-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-25 | 2025-06-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-25 | 2025-06-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-04-25 | 2025-06-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-25 | 2025-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-25 | 2025-06-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-04-25 | 2025-04-14 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-10 | 2024-11-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-17 | 2024-10-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-17 | 2024-10-09 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-09-17 | 2024-10-09 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-17 | 2024-10-09 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-25 | 2024-03-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-01-25 | 2024-03-08 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-01-25 | 2024-03-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-25 | 2024-03-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-25 | 2024-03-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-01-25 | 2024-03-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-25 | 2024-03-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-25 | 2024-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-03-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | N |
| 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 | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-01-25 | 2024-03-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-25 | 2024-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-25 | 2024-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-25 | 2024-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-25 | 2024-03-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-25 | 2024-03-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-03-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-25 | 2024-03-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-17 | 2023-11-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-17 | 2023-11-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-24 | 2023-11-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-24 | 2023-11-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-17 | 2023-09-22 | 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 | 2023-08-24 | 2023-09-21 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-08 | 2021-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-08 | 2021-10-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-08 | 2021-10-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-08 | 2021-05-22 | 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 | 2021-04-08 | 2021-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-08 | 2021-05-22 | 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 | 2021-04-08 | 2021-05-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-08 | 2021-05-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-08 | 2021-05-22 | 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 | 2021-04-08 | 2021-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-08 | 2021-05-22 | 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 | 2021-04-08 | 2021-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-08 | 2021-05-22 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-08 | 2021-05-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-08 | 2021-05-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-08 | 2021-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-08 | 2021-05-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-08 | 2021-05-22 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-04-08 | 2021-05-22 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-04-08 | 2021-05-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-08 | 2021-05-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-04-08 | 2021-05-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-08 | 2021-05-22 | 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 | 2021-04-08 | 2021-05-22 | 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 | 2021-04-08 | 2021-05-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-04-08 | 2021-05-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-04-08 | 2021-05-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-08 | 2021-05-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-08 | 2021-05-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-04-08 | 2021-05-22 | N |