A list of the most recent deficiencies for Lakeview 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-24 | 2023-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-24 | 2023-11-28 | 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 | 2022-07-07 | 2022-08-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-07 | 2022-08-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-07-07 | 2022-08-25 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-07-07 | 2022-08-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-07 | 2022-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-07 | 2022-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-08-25 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-07-07 | 2022-08-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-07 | 2022-08-25 | 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 | 2022-07-07 | 2022-08-25 | 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 | 2022-07-07 | 2022-08-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-07 | 2022-08-25 | 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 | 2022-07-07 | 2022-08-25 | 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 | 2022-07-07 | 2022-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-07 | 2022-08-25 | 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 | 2022-07-07 | 2022-08-25 | 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 | 2022-07-07 | 2022-08-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-30 | 2022-08-25 | 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 | 2022-06-30 | 2022-08-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-30 | 2022-08-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-10 | 2022-06-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-10 | 2022-06-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-10 | 2022-06-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-25 | 2021-09-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-25 | 2021-09-25 | 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 | 2021-08-25 | 2021-09-25 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-08-25 | 2021-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-09-25 | Y |
| Keep all essential equipment working safely. | Health | 2021-08-25 | 2021-09-25 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-25 | 2021-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-07 | 2021-09-25 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-06-07 | 2021-07-26 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-07 | 2021-07-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-07 | 2021-07-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-07 | 2021-07-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-07 | 2021-07-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-07 | 2021-07-26 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-06-07 | 2021-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-07 | 2021-07-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-07 | 2021-07-26 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-06-07 | 2021-07-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-07 | 2021-07-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-07 | 2021-07-26 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-06-07 | 2021-07-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-07 | 2021-07-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-07 | 2021-07-26 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-19 | 2019-07-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-18 | 2019-07-15 | 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 | 2019-06-18 | 2019-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-18 | 2019-07-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-06-18 | Not Fixed | N |
