Deficiency Records for Lakeridge Villa Health Care Center
Updated as of November 01, 2016
This is not the most recent data for Lakeridge Villa Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Lakeridge Villa Health Care 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 that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-07 | 2015-11-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-10-07 | 2015-11-20 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-10-07 | 2015-11-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-10-07 | 2015-11-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-10-07 | 2015-11-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-07 | 2015-11-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-10-07 | 2015-11-20 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-10-07 | 2015-11-20 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-10-07 | 2015-11-20 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-10-07 | 2015-11-20 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-11-20 | 2014-12-05 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-11-20 | 2014-12-05 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-11-20 | 2014-12-05 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-11-20 | 2014-12-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-07-17 | 2014-08-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-07-17 | 2014-08-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-07-17 | 2014-08-21 | N |
| Provide housekeeping and maintenance services. | Health | 2014-07-17 | 2014-08-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-07-17 | 2014-08-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-17 | 2014-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-17 | 2014-08-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-07-17 | 2014-08-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-07-17 | 2014-08-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-07-17 | 2014-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-20 | 2014-08-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-07-17 | 2014-08-21 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-07-17 | 2014-08-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-07-17 | 2014-08-21 | N |
| Provide housekeeping and maintenance services. | Health | 2014-07-17 | 2014-08-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-07-17 | 2014-08-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-07-17 | 2014-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-17 | 2014-08-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-07-17 | 2014-08-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-07-17 | 2014-08-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-07-17 | 2014-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-20 | 2014-08-21 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-06-09 | 2014-07-17 | Y |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2014-04-28 | 2014-07-17 | Y |
| Provide housekeeping and maintenance services. | Health | 2014-04-28 | 2014-07-17 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-04-28 | 2014-07-17 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-06-09 | 2014-07-17 | Y |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2014-04-28 | 2014-07-17 | Y |
| Provide housekeeping and maintenance services. | Health | 2014-04-28 | 2014-07-17 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-04-28 | 2014-07-17 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2014-05-23 | 2014-07-09 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-05-23 | 2014-07-09 | Y |
| Provide housekeeping and maintenance services. | Health | 2014-05-23 | 2014-07-09 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-05-23 | 2014-07-09 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2014-05-23 | 2014-07-09 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2014-05-23 | 2014-07-09 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-05-23 | 2014-07-09 | Y |
| Provide housekeeping and maintenance services. | Health | 2014-05-23 | 2014-07-09 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-05-23 | 2014-07-09 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2014-05-23 | 2014-07-09 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-28 | 2014-06-15 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-04-28 | 2014-06-15 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-28 | 2014-06-15 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-04-28 | 2014-06-15 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2014-03-17 | 2014-05-01 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2014-03-17 | 2014-05-01 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2013-12-02 | 2014-01-06 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2013-12-02 | 2014-01-06 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2013-04-16 | 2013-05-14 | N |
| Provide housekeeping and maintenance services. | Health | 2013-04-16 | 2013-05-14 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2013-04-16 | 2013-05-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-04-16 | 2013-05-14 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2013-04-16 | 2013-05-14 | N |
| Provide food in a way that meets a resident's needs. | Health | 2013-04-16 | 2013-05-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-04-16 | 2013-05-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2013-04-16 | 2013-05-14 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2013-04-16 | 2013-05-14 | N |
| Provide housekeeping and maintenance services. | Health | 2013-04-16 | 2013-05-14 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2013-04-16 | 2013-05-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-04-16 | 2013-05-14 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2013-04-16 | 2013-05-14 | N |
| Provide food in a way that meets a resident's needs. | Health | 2013-04-16 | 2013-05-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-04-16 | 2013-05-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2013-04-16 | 2013-05-14 | N |
