A list of the most recent deficiencies for The Lighthouse at Lakeside Village. 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 | 2023-03-15 | 2023-05-11 | 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 | 2023-03-15 | 2023-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-15 | 2023-05-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-21 | 2023-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-21 | 2023-04-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-21 | 2023-04-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-15 | 2023-04-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-11-18 | 2022-01-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2022-01-02 | N |
| Post nurse staffing information every day. | Health | 2021-11-18 | 2022-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2022-01-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-16 | 2022-01-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-16 | 2022-01-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-16 | 2022-01-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-16 | 2022-01-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-16 | 2022-01-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-16 | 2022-01-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-16 | 2022-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-16 | 2022-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-13 | 2020-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2020-01-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-18 | 2020-01-02 | 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 | 2019-11-18 | 2020-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-18 | 2020-01-02 | 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 | 2019-11-18 | 2020-01-02 | N |
