Deficiency Records for Lakeview Post Acute
Updated as of July 01, 2023
This is not the most recent data for Lakeview Post Acute. For the most recent information, click here.
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 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 |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-12-18 | 2021-02-01 | N |
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 |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-07-28 | 2017-09-04 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-28 | 2017-09-04 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-28 | 2017-09-04 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-28 | 2017-09-04 | N |
Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-07-28 | 2017-09-04 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-28 | 2017-09-04 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-28 | 2017-09-04 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-28 | 2017-09-04 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-28 | 2017-09-04 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-28 | 2017-09-04 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-09-04 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-07-28 | 2017-09-04 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-28 | 2017-09-04 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-07-28 | 2017-09-04 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-07-28 | 2017-09-04 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-07-28 | 2017-09-04 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-28 | 2017-09-04 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-28 | 2017-09-04 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-28 | 2017-09-04 | N |
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-07-28 | 2017-09-04 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-28 | 2017-09-04 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-07-28 | 2017-09-04 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-07-28 | 2017-09-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-28 | 2017-09-04 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-28 | 2017-09-04 | N |