Deficiency Records for Swan Lake Nursing and Rehabilitation
Updated as of August 01, 2016
This is not the most recent data for Swan Lake Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Swan Lake Nursing and Rehabilitation. 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? |
---|---|---|---|---|
Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-05-16 | 2016-07-15 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-08 | 2016-02-05 | Y |
Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2015-12-08 | 2016-02-05 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2015-07-30 | 2015-10-30 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-07-30 | 2015-10-30 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-07-30 | 2015-10-30 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-07-30 | 2015-10-30 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-07-30 | 2015-10-30 | N |
Exits that are accessible at all times. | Fire Safety | 2015-07-30 | 2015-09-25 | N |
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-07-30 | 2015-09-25 | N |
Restrictions on the use of portable space heaters. | Fire Safety | 2015-07-30 | 2015-09-25 | N |
A separate and independent backup electrical power source. | Fire Safety | 2015-07-30 | 2015-09-25 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-30 | 2015-09-25 | N |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2015-07-30 | 2015-09-25 | N |
Properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2015-07-30 | 2015-09-25 | N |
Provide housekeeping and maintenance services. | Health | 2015-07-30 | 2015-09-25 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-07-30 | 2015-09-25 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-07-30 | 2015-09-25 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-30 | 2015-09-25 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-07-30 | 2015-09-25 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-30 | 2015-09-25 | Y |
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2014-12-04 | 2015-02-02 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-09-03 | 2014-11-01 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-09-03 | 2014-11-01 | 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 | 2014-09-03 | 2014-11-01 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2014-09-03 | 2014-11-01 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-09-03 | 2014-11-01 | N |
Provide housekeeping and maintenance services. | Health | 2014-09-03 | 2014-11-01 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-03 | 2014-11-01 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-09-03 | 2014-11-01 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-09-03 | 2014-11-01 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-09-03 | 2014-11-01 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-09-03 | 2014-11-01 | N |
Properly constructed windows in hallway walls or doors. | Fire Safety | 2013-10-25 | 2013-12-24 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-10-25 | 2013-12-24 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-10-25 | 2013-12-24 | N |
Give notice to the resident before a room or roommate change. | Health | 2013-10-25 | 2013-12-24 | N |
Provide housekeeping and maintenance services. | Health | 2013-10-25 | 2013-12-24 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-10-25 | 2013-12-24 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2013-10-25 | 2013-12-24 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2013-10-25 | 2013-12-24 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2013-10-25 | 2013-12-24 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-10-25 | 2013-12-24 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-10-25 | 2013-12-24 | N |
Ensure that residents are safe from serious medication errors. | Health | 2013-10-25 | 2013-12-24 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-10-25 | 2013-12-24 | N |
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2013-10-25 | 2013-12-24 | N |