CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Holmes Lake Rehabilitation and Care Center
View the most recent health deficiencies and inspection results for Holmes Lake Rehabilitation and Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Holmes Lake Rehabilitation and Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2025-06-10 | 2025-07-18 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2025-06-10 | 2025-07-18 | Y |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2025-06-10 | 2025-07-18 | 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 | 2025-01-13 | 2025-02-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-13 | 2025-02-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-13 | 2025-02-24 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-08 | 2024-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-08 | 2024-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-08 | 2024-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-08 | 2024-11-20 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-10-08 | 2024-11-20 | N |
| Meet other general requirements. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-08 | 2024-11-20 | 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 | 2024-10-08 | 2024-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-21 | 2024-11-20 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-10-08 | 2024-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-13 | 2024-04-20 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-30 | 2024-03-10 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-30 | 2024-01-25 | N |
| Post nurse staffing information every day. | Health | 2023-11-30 | 2024-01-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-30 | 2024-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2024-01-10 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-11-30 | 2024-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2024-01-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-30 | 2024-01-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-30 | 2024-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-06 | 2023-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-08 | 2022-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-08 | 2022-12-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-11-08 | 2022-12-31 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-08 | 2022-12-31 | 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 | 2022-11-08 | 2022-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-08 | 2022-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-08 | 2022-12-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-08 | 2022-12-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-08 | 2022-12-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-08 | 2022-12-31 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-08 | 2022-12-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-08 | 2022-12-31 | 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 | 2022-11-08 | 2022-12-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-08 | 2022-12-31 | N |