A list of the most recent deficiencies for Life Care Center of Elkhorn. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-13 | 2023-09-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-14 | 2023-08-18 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-08-18 | 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 | 2023-07-14 | 2023-08-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-22 | 2022-09-30 | 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 | 2022-06-22 | 2022-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-22 | 2022-09-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-22 | 2022-09-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-22 | 2022-09-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-22 | 2022-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-22 | 2022-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-07 | 2022-09-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-07 | 2022-09-03 | Y |
| 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 | 2022-06-22 | 2022-08-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-22 | 2022-08-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-07 | 2022-08-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-07 | 2022-08-02 | 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 | 2022-07-07 | 2022-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-07 | 2022-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-08-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-07 | 2022-08-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-07-07 | 2022-08-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-07 | 2022-08-02 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2022-07-07 | 2022-08-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-07 | 2022-08-02 | 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 | 2022-07-07 | 2022-08-02 | Y |
| 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 | 2022-07-07 | 2022-08-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-07 | 2022-08-02 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-07-07 | 2022-08-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-07-07 | 2022-08-02 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-07 | 2022-08-02 | Y |
| 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 | 2022-04-27 | 2022-06-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-27 | 2022-06-08 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-04-27 | 2022-06-08 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-27 | 2022-06-08 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-10 | 2022-03-24 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-01-28 | 2021-03-04 | 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 | 2021-01-28 | 2021-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-01-28 | 2021-03-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-01-28 | 2021-03-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-01-28 | 2021-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-01-28 | 2021-03-04 | 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 | 2021-02-02 | 2021-02-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-02-02 | 2021-02-18 | N |
