Deficiency Records for Locust Ridge Healthcare LLC
Updated as of October 01, 2020
This is not the most recent data for Locust Ridge Healthcare LLC. For the most recent information, click here.
A list of the most recent deficiencies for Locust Ridge Healthcare 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2019-09-17 | 2019-10-25 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-17 | 2019-10-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-17 | 2019-10-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-17 | 2019-10-25 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-17 | 2019-10-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-02-19 | 2019-03-27 | 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 | 2019-02-21 | 2019-03-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-21 | 2019-03-27 | 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 | 2019-02-21 | 2019-03-27 | 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 | 2019-02-21 | 2019-03-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-12 | 2019-01-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-12 | 2019-01-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-12-06 | 2019-01-04 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-04 | 2018-02-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-05 | 2018-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-05 | 2018-02-23 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-01-05 | 2018-02-23 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-10-16 | 2017-11-20 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-16 | 2017-11-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-16 | 2017-11-20 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-22 | 2017-08-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-06-23 | 2017-08-04 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-10-12 | 2016-11-18 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-10-12 | 2016-11-18 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-10-12 | 2016-11-18 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-10-12 | 2016-11-18 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-10-17 | 2016-11-18 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-17 | 2016-11-18 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-17 | 2016-11-18 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-17 | 2016-11-18 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-17 | 2016-11-18 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-17 | 2016-11-18 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-10-17 | 2016-11-18 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-10-17 | 2016-11-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-17 | 2016-11-18 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-10-17 | 2016-11-18 | N |
