A list of the most recent deficiencies for Lecom at Presque Isle, Inc. 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? |
|---|---|---|---|---|
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-21 | 2023-05-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-21 | 2023-05-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-03-21 | 2023-05-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-21 | 2023-05-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-21 | 2023-05-14 | 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 | 2023-03-21 | 2023-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-05-14 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-03-21 | 2023-05-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-17 | 2023-04-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-17 | 2023-04-27 | 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 | 2022-08-23 | 2022-10-14 | 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 | 2022-04-28 | 2022-06-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-28 | 2022-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-28 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-28 | 2022-06-06 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2022-04-28 | 2022-06-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-28 | 2022-06-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-04-28 | 2022-06-06 | 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 | 2022-03-31 | 2022-05-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-31 | 2022-05-18 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-14 | 2021-06-30 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-05-14 | 2021-06-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-14 | 2021-06-30 | 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 | 2021-05-14 | 2021-06-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-14 | 2021-06-30 | 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 | 2021-05-14 | 2021-06-30 | N |
| Meet other general requirements. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| 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 | 2021-05-25 | 2021-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-25 | 2021-06-30 | N |
