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Deficiency Records for Lecom at Village Square, LLC
View the most recent health deficiencies and inspection results for Lecom at Village Square, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lecom at Village Square, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-12-18 | 2026-01-23 | 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 | 2025-12-18 | 2026-01-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-18 | 2026-01-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-03-30 | 2025-05-09 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2025-03-30 | 2025-05-09 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-11-19 | 2025-01-15 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-11-19 | 2025-01-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-11-19 | 2025-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-19 | 2025-01-03 | 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 | 2024-11-19 | 2025-01-03 | 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 | 2024-11-19 | 2025-01-03 | 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 | 2024-11-19 | 2025-01-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-19 | 2024-11-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-07 | 2024-02-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-07 | 2024-02-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2024-02-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2024-02-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-07 | 2024-02-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-07 | 2024-01-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-12-07 | 2024-01-31 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-12-07 | 2024-01-31 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-12-07 | 2024-01-31 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-12-07 | 2024-01-31 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-07 | 2024-01-31 | N |