Deficiency Records for Lakeside Health and Rehab Center
Updated as of June 01, 2019
This is not the most recent data for Lakeside Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Lakeside Health and Rehab Center. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-21 | 2019-04-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-21 | 2019-04-18 | 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 | 2019-03-21 | 2019-04-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-21 | 2019-04-18 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-03-21 | 2019-04-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-07 | 2018-12-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-07 | 2018-12-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-07 | 2018-12-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-08 | 2018-10-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-08 | 2018-10-25 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-04-12 | 2018-05-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-04-12 | 2018-05-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-12 | 2018-05-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-12 | 2018-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-12 | 2018-05-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-12 | 2018-05-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-16 | 2018-04-13 | 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 | 2018-03-16 | 2018-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-16 | 2018-04-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-16 | 2018-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-16 | 2018-04-13 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2017-03-07 | 2017-04-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-03-07 | 2017-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-07 | 2017-04-21 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-03-07 | 2017-04-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-07 | 2017-04-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-03-07 | 2017-04-21 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2017-03-07 | 2017-04-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-07 | 2017-04-21 | 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 | 2017-02-01 | 2017-02-27 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-01 | 2017-02-27 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-01 | 2017-02-27 | Y |
| Exits that are accessible at all times. | Fire Safety | 2015-12-30 | 2016-01-22 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2015-12-30 | 2016-01-22 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-12-30 | 2016-01-22 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-30 | 2016-01-22 | N |
