A list of the most recent deficiencies for Carecore at Lima LLC. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-18 | 2024-01-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-04 | 2023-12-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-04 | 2023-12-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-04 | 2023-12-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-09 | 2023-09-15 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-07-06 | 2023-07-21 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-07-06 | 2023-07-21 | Y |
| 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 | 2023-02-27 | 2023-03-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-09 | 2022-09-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-09 | 2022-09-21 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-09 | 2022-06-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-09 | 2022-06-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-09 | 2022-06-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-09 | 2022-06-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-09 | 2022-06-17 | 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 | 2022-05-09 | 2022-06-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-09 | 2022-06-17 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-05-09 | 2022-06-17 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-05-09 | 2022-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-09 | 2022-06-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-05-09 | 2022-06-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-02 | 2022-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-02 | 2022-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-02 | 2022-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-02 | 2022-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-02 | 2022-06-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-02 | 2022-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-09 | 2022-03-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-09 | 2022-03-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2022-03-04 | Y |
| Keep all essential equipment working safely. | Health | 2021-12-09 | 2022-03-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-09 | 2022-03-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-13 | 2021-10-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-02 | 2019-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-02 | 2019-09-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-02 | 2019-08-21 | 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 | 2019-07-02 | 2019-08-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-02 | 2019-08-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-07-02 | 2019-08-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-02 | 2019-08-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-02 | 2019-08-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-02 | 2019-08-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-02 | 2019-08-21 | 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 | 2019-07-02 | 2019-08-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-02 | 2019-08-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-02 | 2019-08-21 | 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 | 2019-07-02 | 2019-08-21 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-07-02 | 2019-08-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-07-02 | 2019-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-02 | 2019-08-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-02 | 2019-08-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-07-02 | 2019-08-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-02 | 2019-08-21 | N |
| 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 | 2019-07-02 | 2019-08-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-02 | 2019-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-02 | 2019-08-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-02 | 2019-08-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-02 | 2019-07-26 | N |
| 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 | 2018-05-29 | 2018-09-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-05-29 | 2018-09-27 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-05-31 | 2018-08-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-05-31 | 2018-08-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-31 | 2018-08-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-31 | 2018-08-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-31 | 2018-08-29 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-05-31 | 2018-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-31 | 2018-08-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-29 | 2018-08-29 | N |
