Deficiency Records for Lebanon Veterans Home
Updated as of August 01, 2024
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Deficiency Records for Lebanon Veterans Home
A list of the most recent deficiencies for Lebanon Veterans Home. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Lebanon Veterans Home. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-03 | 2024-06-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-03 | 2024-06-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-03 | 2024-06-18 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-05-03 | 2024-06-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-05-03 | 2024-06-18 | 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 | 2024-05-03 | 2024-06-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-03 | 2024-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-03 | 2024-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-03 | 2024-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-03 | 2024-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-03 | 2024-06-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-03 | 2024-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-03 | 2024-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-03 | 2024-06-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-03 | 2024-06-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-03 | 2024-06-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-07 | 2024-06-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-07 | 2024-06-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-07 | 2024-06-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-21 | 2023-07-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-21 | 2023-07-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-27 | 2023-04-21 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-30 | 2023-03-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-30 | 2023-03-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-30 | 2023-03-14 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-30 | 2023-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-30 | 2023-03-14 | N |
| Provide activities to meet all resident's needs. | Health | 2023-01-30 | 2023-03-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-30 | 2023-03-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-18 | 2022-12-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-18 | 2022-11-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-29 | 2022-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-29 | 2022-09-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-29 | 2022-09-25 | 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 | 2022-07-29 | 2022-09-25 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-07-29 | 2022-09-10 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-29 | 2022-09-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-07 | 2019-12-01 | 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 | 2019-10-07 | 2019-12-01 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-07 | 2019-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-07 | 2019-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-03 | 2019-11-15 | N |
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