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Deficiency Records for Liberty Retirement Community of Lima Inc

View the most recent health deficiencies and inspection results for Liberty Retirement Community of Lima Inc. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Liberty Retirement Community of Lima Inc. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2026-03-19 2026-04-10 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2026-03-19 2026-04-10 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 2026-03-19 2026-04-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2026-03-19 2026-04-10 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 2026-03-19 2026-04-10 N
Provide or obtain dental services for each resident. Health 2026-03-19 2026-04-10 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2026-03-19 2026-04-10 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2026-03-19 2026-04-10 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2026-03-19 2026-04-10 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2026-03-19 2026-04-10 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 2026-03-19 2026-04-10 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2026-03-19 2026-04-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-03-19 2026-04-10 Y
Provide activities to meet all resident's needs. Health 2026-03-19 2026-04-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-03-19 2026-04-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-03-19 2026-04-10 Y
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 2026-03-19 2026-04-10 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2026-03-19 2026-04-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2026-03-19 2026-04-10 Y
Ensure that residents are free from significant medication errors. Health 2026-03-19 2026-04-10 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2026-03-19 2026-04-10 Y
Provide and implement an infection prevention and control program. Health 2026-03-19 2026-04-10 Y
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Health 2026-03-19 2026-04-10 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2026-03-19 2026-04-10 N
Ensure that residents are free from significant medication errors. Health 2025-01-30 2025-02-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-01-30 2025-02-17 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-12-06 2024-12-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-22 2024-08-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-22 2024-08-01 Y
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 2024-05-08 2024-06-10 N
Establish staff and initial training requirements. Fire Safety 2024-05-08 2024-06-10 N
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2024-05-08 2024-06-10 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-08 2024-06-10 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-05-08 2024-06-10 Y
Provide and implement an infection prevention and control program. Health 2024-05-08 2024-06-10 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-05-08 2024-06-10 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 2024-05-08 2024-06-10 N
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. Health 2024-05-08 2024-06-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-05-08 2024-06-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-08 2024-06-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-05-08 2024-06-10 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 2024-05-08 2024-06-10 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2024-05-08 2024-06-10 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-05-08 2024-06-10 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-08 2024-06-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-05-08 2024-06-10 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 2024-05-08 2024-06-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-05-08 2024-06-10 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-05-08 2024-06-10 N
Provide properly protected cooking facilities. Fire Safety 2024-05-08 2024-06-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-08 2024-06-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-05-08 2024-06-10 N
Install properly constructed windows in hallway walls or doors. Fire Safety 2024-05-08 2024-06-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-05-08 2024-06-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-05-08 2024-06-10 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-05-08 2024-06-10 N
Have proper power supply for life support equipment. Fire Safety 2024-05-08 2024-06-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-05-08 2024-06-10 N
Have proper medical gas storage and administration areas. Fire Safety 2024-05-08 2024-06-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-29 2024-01-16 Y
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 2023-07-06 2023-07-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-20 2023-06-01 N
Provide or get specialized rehabilitative services as required for a resident. Health 2023-04-20 2023-06-01 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-04-20 2023-06-01 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-04-20 2023-06-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-20 2023-06-01 N
Provide appropriate foot care. Health 2023-04-20 2023-06-01 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-04-20 2023-06-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-20 2023-06-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-20 2023-06-01 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2023-04-20 2023-06-01 N

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