Deficiency Records for Holmes Lake Rehabilitation and Care Center
Updated as of June 01, 2018
This is not the most recent data for Holmes Lake Rehabilitation and Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Holmes Lake Rehabilitation and Care Center. 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? |
|---|---|---|---|---|
| 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 | 2017-04-18 | 2017-05-05 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-04-10 | 2017-04-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-10 | 2017-04-28 | 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 | 2017-04-10 | 2017-04-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-10 | 2017-04-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-04-10 | 2017-04-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-04-10 | 2017-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-10 | 2017-04-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-10 | 2017-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-10 | 2017-04-28 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-02-01 | 2016-03-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-02-01 | 2016-03-17 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-02-01 | 2016-03-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-01 | 2016-03-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-01 | 2016-03-17 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-02-01 | 2016-03-17 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2016-02-01 | 2016-03-17 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-01-26 | 2016-02-24 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-01-26 | 2016-02-24 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-26 | 2016-01-28 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-01-26 | 2016-01-28 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-01-26 | 2016-01-28 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-26 | 2016-01-28 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-26 | 2016-01-28 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2015-01-14 | 2015-02-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2015-01-08 | 2015-02-13 | 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 | 2015-01-08 | 2015-02-13 | N |
| Provide housekeeping and maintenance services. | Health | 2015-01-08 | 2015-02-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-01-08 | 2015-02-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-08 | 2015-02-13 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-01-14 | 2015-02-10 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-01-14 | 2015-02-05 | N |
| Proper backup exit lighting. | Fire Safety | 2015-01-14 | 2015-02-03 | N |
| Fire resistant room wall surfaces. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-01-14 | 2015-01-16 | N |
