Deficiency Records for Holmes Lake Rehabilitation and Care Center
Updated as of August 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? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-04-25 | 2018-06-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-25 | 2018-05-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-04-25 | 2018-05-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-25 | 2018-05-01 | 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 | 2018-04-30 | 2018-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-30 | 2018-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-04-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-25 | 2018-04-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-04-25 | 2018-04-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-25 | 2018-04-26 | N |
| 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 |
