A list of the most recent deficiencies for Lindsay Nursing and Rehab. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-25 | 2024-02-16 | 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 | 2024-01-25 | 2024-02-16 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-25 | 2024-02-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-19 | 2023-11-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-09-19 | 2023-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-19 | 2023-11-01 | N |
| 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 | 2023-09-19 | 2023-11-01 | 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 | 2022-09-07 | 2022-10-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-15 | 2022-10-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-13 | 2022-10-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-13 | 2022-10-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-13 | 2022-10-07 | 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 | 2022-09-13 | 2022-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-13 | 2022-10-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-09-13 | 2022-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-13 | 2022-10-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-13 | 2022-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-13 | 2022-10-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-13 | 2022-10-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-13 | 2022-10-07 | 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 | 2019-09-05 | 2019-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-05 | 2019-10-25 | 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 | 2019-09-05 | 2019-10-25 | 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 | 2019-09-05 | 2019-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-05 | 2019-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-05 | 2019-10-25 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-04 | 2019-10-25 | N |
