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Deficiency Records for Clove Lakes Health Care and Rehab Center, Inc
View the most recent health deficiencies and inspection results for Clove Lakes Health Care and Rehab Center, Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Clove Lakes Health Care and Rehab Center, Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-11-18 | 2026-01-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-13 | 2025-04-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-25 | 2024-12-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-25 | 2024-12-20 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-10-16 | 2024-12-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-16 | 2024-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-16 | 2024-12-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-16 | 2024-12-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-16 | 2024-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-16 | 2024-12-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-16 | 2024-12-08 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-16 | 2024-12-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-16 | 2024-12-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-16 | 2024-12-08 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-11-10 | 2023-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-10 | 2023-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-10 | 2023-01-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-10 | 2023-01-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-11-10 | 2023-01-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-10 | 2023-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-10 | 2023-01-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-10 | 2023-01-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-10 | 2023-01-09 | 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 | 2022-11-10 | 2023-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-10 | 2023-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-03-22 | 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 | 2020-01-23 | 2020-03-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-23 | 2020-03-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-23 | 2020-03-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-23 | 2020-03-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-23 | 2020-03-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-23 | 2020-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-23 | 2020-03-22 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2020-01-23 | 2020-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-23 | 2020-03-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-27 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-27 | Not Fixed | Y |
| Respond appropriately to all alleged violations. | Health | 2026-04-27 | Not Fixed | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-04-27 | Not Fixed | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-04-27 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-27 | Not Fixed | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2026-04-27 | Not Fixed | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2026-04-27 | Not Fixed | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-04-27 | Not Fixed | Y |