A list of the most recent deficiencies for O'neill Healthcare Lakewood. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-24 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-08-31 | 2023-10-24 | 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 | 2023-08-31 | 2023-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-10-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-31 | 2023-10-24 | 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 | 2023-08-29 | 2023-10-24 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-29 | 2023-10-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-13 | 2023-04-04 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-05-25 | 2022-06-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-03 | 2022-06-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-30 | 2020-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-30 | 2020-03-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-30 | 2020-03-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-01-31 | 2020-03-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-31 | 2020-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-31 | 2020-03-10 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-11-08 | 2018-12-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-11-08 | 2018-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-08 | 2018-12-21 | N |
| 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 | 2018-11-08 | 2018-12-21 | 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 | 2018-11-08 | 2018-12-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-08 | 2018-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-08 | 2018-12-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-06 | 2018-12-21 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-06 | 2018-12-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-06 | 2018-12-21 | N |
| Meet other general requirements. | Fire Safety | 2018-11-06 | 2018-12-21 | 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 | 2018-11-06 | 2018-12-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-11-06 | 2018-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-06 | 2018-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-06 | 2018-12-21 | N |
