Deficiency Records for Emerald Nursing and Rehab Lakeview
Updated as of February 01, 2023
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? |
|---|---|---|---|---|
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-09-26 | 2022-11-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-26 | 2022-11-10 | 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 | 2022-08-04 | 2022-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-09-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-04 | 2022-09-16 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2022-08-04 | 2022-09-16 | 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 | 2022-08-04 | 2022-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-09-16 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-04 | 2022-09-16 | N |
| Provide a bathroom in or located near each resident?s room. | Health | 2022-08-04 | 2022-09-16 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-08-04 | 2022-09-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-04 | 2022-09-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-04 | 2022-09-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-04 | 2022-09-16 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-04 | 2022-09-16 | 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 | 2022-08-04 | 2022-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-13 | 2021-06-02 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-05-13 | 2021-06-02 | Y |
| 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 | 2021-05-13 | 2021-06-02 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2021-03-30 | 2021-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-30 | 2021-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-30 | 2021-04-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-03-30 | 2021-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-30 | 2021-04-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-30 | 2021-04-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-30 | 2021-04-16 | Y |
| 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 | 2021-03-30 | 2021-04-16 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-03-29 | 2021-04-16 | 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 | 2021-03-29 | 2021-04-16 | N |
| 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 | 2021-03-29 | 2021-04-16 | 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 | 2021-03-29 | 2021-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-29 | 2021-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-29 | 2021-04-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-29 | 2021-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-29 | 2021-04-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-03-29 | 2021-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-29 | 2021-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-09 | 2020-08-03 | 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 | 2020-02-20 | 2020-04-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-20 | 2020-04-05 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-08-14 | 2019-09-29 | 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 | 2019-08-14 | 2019-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-14 | 2019-09-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-08-14 | 2019-09-29 | 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 | 2019-08-13 | 2019-09-27 | 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 | 2019-08-13 | 2019-09-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-08-13 | 2019-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-13 | 2019-09-27 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-13 | 2019-09-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-13 | 2019-09-27 | N |
| Post nurse staffing information every day. | Health | 2019-08-13 | 2019-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-13 | 2019-09-27 | 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 | 2019-08-13 | 2019-09-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-13 | 2019-09-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-13 | 2019-09-27 | 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 | 2019-08-13 | 2019-09-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-08-13 | 2019-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-13 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-13 | 2019-09-27 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2019-08-13 | 2019-09-27 | N |
