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Deficiency Records for Lakes of Monclova Health Campus The
View the most recent health deficiencies and inspection results for Lakes of Monclova Health Campus The. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lakes of Monclova Health Campus The. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-08 | 2025-10-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-06 | 2025-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-03-25 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-06-06 | 2024-07-15 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-06 | 2024-06-27 | 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 | 2024-06-06 | 2024-06-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-06 | 2024-06-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-06-06 | 2024-06-27 | 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 | 2024-06-06 | 2024-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-06-27 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-06-06 | 2024-06-27 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-06-06 | 2024-05-23 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-09-30 | 2021-10-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-30 | 2021-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-10-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-30 | 2021-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-30 | 2021-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-30 | 2021-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-30 | 2021-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-21 | 2019-04-10 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-03-21 | 2019-04-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-21 | 2019-04-10 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-21 | 2019-04-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-21 | 2019-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-21 | 2019-04-10 | 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 | 2019-03-21 | 2019-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-04-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-21 | 2019-04-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-03-21 | 2019-04-10 | 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 | 2019-03-21 | 2019-04-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-21 | 2019-04-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-21 | 2019-04-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-21 | 2019-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-21 | 2019-04-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-04-10 | N |