A list of the most recent deficiencies for Grande Lake Healthcare 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-02-13 | 2023-03-06 | 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 | 2023-02-13 | 2023-03-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-02-13 | 2023-03-06 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-02-13 | 2023-03-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-13 | 2023-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-13 | 2023-03-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-02-13 | 2023-03-06 | 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 | 2023-02-13 | 2023-03-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-13 | 2023-03-06 | N |
| Provide or obtain dental services for each resident. | Health | 2023-02-13 | 2023-03-06 | 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 | 2023-02-06 | 2023-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-06 | 2023-03-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-06 | 2023-03-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-06-13 | 2022-07-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-13 | 2022-07-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-13 | 2022-07-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-13 | 2022-07-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-13 | 2022-07-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-13 | 2022-07-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-03 | 2022-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-04 | 2020-02-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-04 | 2020-02-04 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2020-01-04 | 2020-02-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-04 | 2020-02-04 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-01-04 | 2020-02-04 | 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 | 2020-01-04 | 2020-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-04 | 2020-02-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-04 | 2020-02-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-04 | 2020-02-04 | 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 | 2020-01-04 | 2020-02-04 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-01-04 | 2020-02-04 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2020-01-04 | 2020-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-04 | 2020-02-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-04 | 2020-02-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-04 | 2020-02-04 | 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 | 2020-01-02 | 2020-02-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-02 | 2020-02-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-15 | 2018-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-15 | 2018-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-15 | 2018-12-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-15 | 2018-12-18 | 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 | 2018-11-15 | 2018-12-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-15 | 2018-12-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-11-15 | 2018-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2018-12-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-11-15 | 2018-12-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-11-15 | 2018-12-18 | N |
