Deficiency Records for Swan Lake Nursing and Rehabilitation
Updated as of July 01, 2022
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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-03-10 | 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 | 2020-01-10 | 2020-03-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-01-10 | 2020-03-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-01-10 | 2020-03-10 | 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 | 2020-01-10 | 2020-03-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-01-10 | 2020-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-10 | 2020-03-10 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-01-10 | 2020-03-10 | 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 | 2018-12-21 | 2019-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-21 | 2019-02-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-21 | 2019-02-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-21 | 2019-02-18 | 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 | 2018-12-21 | 2019-02-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-21 | 2019-02-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-12-21 | 2019-02-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-21 | 2019-02-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-21 | 2019-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-21 | 2019-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-21 | 2019-02-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-21 | 2019-02-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-21 | 2019-02-18 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-12 | 2017-09-08 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-12 | 2017-09-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-12 | 2017-09-08 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-12 | 2017-09-08 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-12 | 2017-09-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-07-12 | 2017-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-12 | 2017-09-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-07-12 | 2017-09-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-07-12 | 2017-09-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-12 | 2017-09-08 | N |
