Deficiency Records for Lima Convalescent Home
Updated as of October 01, 2021
This is not the most recent data for Lima Convalescent Home. For the most recent information, click here.
A list of the most recent deficiencies for Lima Convalescent Home. 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 and implement an infection prevention and control program. | Health | 2021-02-08 | 2021-03-29 | N |
| Respond appropriately to all alleged violations. | Health | 2020-10-22 | 2020-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-06-11 | 2020-07-31 | 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 | 2019-08-22 | 2019-11-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-22 | 2019-11-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-11-22 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-08-22 | 2019-11-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-22 | 2019-11-22 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-08-22 | 2019-11-22 | 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 | 2019-08-22 | 2019-11-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-22 | 2019-11-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-13 | 2018-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-13 | 2018-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-13 | 2018-08-31 | 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 | 2018-07-13 | 2018-08-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-13 | 2018-08-31 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-05-03 | 2017-06-25 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2017-05-03 | 2017-06-25 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-05-03 | 2017-06-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-03 | 2017-06-25 | N |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2017-05-04 | 2017-06-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-04 | 2017-06-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-04 | 2017-06-25 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-04 | 2017-06-25 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-04 | 2017-06-25 | 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 | 2017-05-04 | 2017-06-25 | 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 | 2017-05-04 | 2017-06-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-05-04 | 2017-06-25 | N |
