Deficiency Records for Emerald Nursing and Rehab Lakeview
Updated as of November 01, 2019
This is not the most recent data for Emerald Nursing and Rehab Lakeview. For the most recent information, click here.
A list of the most recent deficiencies for Emerald Nursing and Rehab Lakeview. 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2018-05-01 | 2018-06-21 | 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 | 2018-05-01 | 2018-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-01 | 2018-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-01 | 2018-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-01 | 2018-06-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-05-01 | 2018-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-01 | 2018-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-01 | 2018-06-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-01 | 2018-06-21 | 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 | 2018-05-07 | 2018-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-07 | 2018-06-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-07 | 2018-06-21 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-05-07 | 2018-06-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-07 | 2018-06-21 | N |
| Post nurse staffing information every day. | Health | 2018-05-07 | 2018-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-07 | 2018-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-07 | 2018-06-21 | 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 | 2018-05-07 | 2018-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-07 | 2018-06-21 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-05-07 | 2018-06-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-07 | 2018-06-21 | Y |
| 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 | 2018-05-07 | 2018-06-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-07 | 2018-06-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-07 | 2018-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-07 | 2018-06-21 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-05-07 | 2018-06-21 | Y |
| Dispose of garbage and refuse properly. | Health | 2018-05-07 | 2018-06-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-06 | 2017-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-06 | 2017-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-06 | 2017-07-07 | 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 | 2017-04-06 | 2017-07-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-06 | 2017-07-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-04-06 | 2017-06-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-04-06 | 2017-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-04-06 | 2017-05-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-06 | 2017-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-06 | 2017-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-06 | 2017-05-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-04-06 | 2017-05-18 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-04-12 | 2017-05-16 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-04-12 | 2017-05-16 | N |
| Provide housekeeping and maintenance services. | Health | 2017-04-12 | 2017-05-16 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-12 | 2017-05-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-12 | 2017-05-16 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-12 | 2017-05-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-12 | 2017-05-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-12 | 2017-05-16 | N |
| Provide or obtain dental services for each resident. | Health | 2017-04-12 | 2017-05-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-12 | 2017-05-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-12 | 2017-05-16 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2017-04-12 | 2017-05-16 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-04-12 | 2017-05-16 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-06 | 2017-05-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-04-06 | 2017-05-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-04-06 | 2017-05-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-06 | 2017-05-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-06 | 2017-05-10 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-02-16 | 2016-04-10 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-02-16 | 2016-04-10 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-16 | 2016-04-10 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-02-16 | 2016-04-10 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-16 | 2016-04-10 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-02-16 | 2016-04-10 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-16 | 2016-04-10 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2016-02-25 | 2016-04-10 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-02-25 | 2016-04-10 | N |
| Give notice to the resident before a room or roommate change. | Health | 2016-02-25 | 2016-04-10 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-02-25 | 2016-04-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-25 | 2016-04-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-25 | 2016-04-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-25 | 2016-04-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-25 | 2016-04-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-25 | 2016-04-10 | N |
