A list of the most recent deficiencies for Lane Nursing and Ventilator Care. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-10 | 2023-11-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-28 | 2023-10-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-28 | 2023-10-09 | 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 | 2023-08-28 | 2023-10-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-28 | 2023-10-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-28 | 2023-10-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-08-28 | 2023-10-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-28 | 2023-10-09 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-08-28 | 2023-10-09 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-08-28 | 2023-10-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-08-28 | 2023-10-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-22 | 2023-04-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-29 | 2021-12-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-29 | 2021-12-03 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-10-29 | 2021-12-03 | 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 | 2021-10-29 | 2021-12-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-29 | 2021-12-03 | N |
| Report COVID19 data to residents and families. | Health | 2021-10-29 | 2021-12-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-26 | 2021-12-03 | 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 | 2021-10-26 | 2021-12-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-26 | 2021-12-03 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-11-07 | 2019-12-06 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-07 | 2019-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-12-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-07 | 2019-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-07 | 2019-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2019-12-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-07 | 2019-12-06 | 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 | 2019-11-07 | 2019-12-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-05 | 2019-12-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-05 | 2019-12-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-25 | 2018-10-31 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-25 | 2018-10-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-25 | 2018-10-31 | 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 | 2018-09-25 | 2018-10-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-25 | 2018-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-25 | 2018-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-25 | 2018-10-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-09-25 | 2018-10-31 | N |
