Deficiency Records for Lotus Village Center For Nursing and Rehabilitation
Updated as of September 01, 2022
This is not the most recent data for Lotus Village Center For Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Lotus Village Center For 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? |
---|---|---|---|---|
Post nurse staffing information every day. | Health | 2022-01-18 | 2022-02-17 | Y |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-01-18 | 2022-02-17 | Y |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-18 | 2022-02-17 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-18 | 2022-02-17 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-01-18 | 2022-02-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-02-17 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-13 | 2021-05-14 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-03-12 | 2021-04-09 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-03-12 | 2021-04-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-12 | 2021-04-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-12 | 2021-04-09 | N |
Post nurse staffing information every day. | Health | 2021-03-12 | 2021-04-09 | 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 | 2021-03-12 | 2021-04-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-12 | 2021-04-09 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-12 | 2021-04-09 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-12 | 2021-04-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-12 | 2021-04-09 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-03-12 | 2021-04-09 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-12 | 2021-04-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-06-29 | 2020-07-22 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-04 | 2019-10-23 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-04 | 2019-10-23 | Y |
Ensure that residents are free from significant medication errors. | Health | 2019-10-04 | 2019-10-23 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-05-28 | 2019-07-12 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-28 | 2019-07-12 | N |
Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-05-28 | 2019-07-12 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-28 | 2019-07-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-04-18 | 2019-05-16 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-18 | 2019-05-16 | 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 | 2019-04-18 | 2019-05-16 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-18 | 2019-05-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-18 | 2019-05-16 | N |
Use approved construction type or materials. | Fire Safety | 2018-07-02 | 2018-07-22 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-07-02 | 2018-07-22 | 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 | 2018-05-25 | 2018-06-22 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-05-25 | 2018-06-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-25 | 2018-06-22 | N |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-05-25 | 2018-06-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-25 | 2018-06-22 | N |
Dispose of garbage and refuse properly. | Health | 2018-05-25 | 2018-06-22 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-25 | 2018-06-22 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-05-25 | 2018-06-22 | N |