A list of the most recent deficiencies for Lakeview Post Acute. 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 and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-05 | 2023-10-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-11 | 2023-07-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-11 | 2023-07-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-13 | 2023-07-12 | 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 | 2023-06-13 | 2023-07-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-13 | 2023-07-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-13 | 2023-07-12 | 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 | 2023-06-13 | 2023-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-13 | 2023-07-12 | 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 | 2023-06-13 | 2023-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-13 | 2023-07-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-13 | 2023-07-12 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-13 | 2023-07-12 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-01-05 | 2023-01-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-24 | 2022-11-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-19 | 2022-10-17 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2019-11-22 | 2020-01-14 | 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 | 2019-11-22 | 2020-01-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-22 | 2019-12-31 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-11-22 | 2019-12-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-22 | 2019-12-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-22 | 2019-12-31 | 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 | 2019-11-22 | 2019-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-22 | 2019-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-22 | 2019-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-22 | 2019-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-22 | 2019-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-22 | 2019-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-22 | 2019-12-31 | 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 | 2019-11-22 | 2019-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-22 | 2019-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-22 | 2019-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-22 | 2019-12-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-22 | 2019-12-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-11-22 | 2019-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-22 | 2019-12-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-21 | 2018-12-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-21 | 2018-10-31 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-09-21 | 2018-10-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-09-21 | 2018-10-31 | 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 | 2018-09-21 | 2018-10-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-21 | 2018-10-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-09-21 | 2018-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-21 | 2018-10-31 | 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 | 2018-09-21 | 2018-10-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-21 | 2018-10-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-09-21 | 2018-10-31 | 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 | 2018-09-21 | 2018-10-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-21 | 2018-10-31 | 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 | 2018-09-21 | 2018-10-31 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-09-21 | 2018-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-21 | 2018-10-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-21 | 2018-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-21 | 2018-10-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-09-21 | 2018-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-21 | 2018-10-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-21 | 2018-10-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-09-21 | 2018-10-31 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-09-21 | 2018-10-31 | N |
