A list of the most recent deficiencies for The Lakes. 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? |
|---|---|---|---|---|
| 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 | 2024-02-21 | 2024-03-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-02-21 | 2024-03-07 | 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 | 2024-02-21 | 2024-03-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-21 | 2024-03-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-21 | 2024-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-21 | 2024-03-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-21 | 2024-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-21 | 2024-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-28 | 2023-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-28 | 2023-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-11 | 2023-05-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-04-11 | 2023-05-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-11 | 2023-05-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-08 | 2022-07-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-08 | 2022-07-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-08 | 2022-07-07 | 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 | 2022-06-08 | 2022-07-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-08 | 2022-07-07 | Y |
| 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 | 2022-06-07 | 2022-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-07 | 2022-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-07 | 2022-07-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-07 | 2022-07-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-15 | 2021-06-02 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-04-15 | 2021-06-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-15 | 2021-06-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-15 | 2021-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-06-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-15 | 2021-06-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-15 | 2021-06-02 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-04-15 | 2021-06-02 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-04-14 | 2021-06-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-14 | 2021-06-02 | N |
