Deficiency Records for Lebanon Veterans Home
Updated as of October 01, 2019
This is not the most recent data for Lebanon Veterans Home. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-03-28 | 2019-05-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-28 | 2019-05-17 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-26 | 2018-04-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-02-26 | 2018-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-05 | 2018-04-20 | 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 | 2018-03-05 | 2018-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-05 | 2018-04-13 | 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 | 2018-03-05 | 2018-04-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-05 | 2018-04-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-05 | 2018-04-02 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-01-27 | 2017-02-28 | N |
| Approved construction type or materials. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| A separate and independent backup electrical power source. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-01 | 2016-01-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2015-11-20 | 2016-01-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-11-20 | 2016-01-09 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-11-20 | 2016-01-09 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-11-20 | 2016-01-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-20 | 2016-01-09 | N |
