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Deficiency Records for Kadima Rehabilitation and Nursing at Lakeside

View the most recent health deficiencies and inspection results for Kadima Rehabilitation and Nursing at Lakeside. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Kadima Rehabilitation and Nursing at Lakeside. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-09-04 2025-10-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-09-04 2025-10-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2025-09-04 2025-10-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-09-04 2025-10-01 N
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Health 2025-09-04 2025-09-18 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2025-09-04 2025-09-18 N
Ensure each resident receives an accurate assessment. Health 2025-09-04 2025-09-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-09-04 2025-09-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-09-04 2025-09-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-09-04 2025-09-18 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-11-21 2025-02-03 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-11-21 2025-01-03 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2024-11-21 2025-01-03 N
Provide or get specialized rehabilitative services as required for a resident. Health 2024-11-21 2025-01-03 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-11-21 2025-01-03 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-11-21 2025-01-03 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2024-11-21 2025-01-03 N
Provide enough food/fluids to maintain a resident's health. Health 2024-11-21 2025-01-03 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-11-21 2025-01-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-11-21 2024-12-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-11-21 2024-12-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-11-21 2024-12-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-11-21 2024-12-26 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-11-21 2024-12-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-11-21 2024-12-26 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-05-16 2024-07-01 Y
Respond appropriately to all alleged violations. Health 2024-05-16 2024-07-01 Y
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2024-05-16 2024-07-01 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-05-16 2024-07-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-16 2024-07-01 Y
Use approved construction type or materials. Fire Safety 2023-12-07 2024-01-26 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2023-12-07 2024-01-26 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-12-07 2024-01-26 N
Provide properly protected cooking facilities. Fire Safety 2023-12-07 2024-01-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-12-07 2024-01-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-07 2024-01-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-07 2024-01-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-07 2024-01-26 N
Provide and implement an infection prevention and control program. Health 2023-12-07 2024-01-05 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 2023-12-07 2024-01-05 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-12-07 2024-01-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-12-07 2024-01-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-07 2024-01-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-07 2024-01-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-07 2024-01-05 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-12-07 2024-01-05 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-12-07 2024-01-05 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 2023-12-07 2024-01-05 N
Ensure the activities program is directed by a qualified professional. Health 2023-12-07 2024-01-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-26 2023-12-07 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 2023-09-08 2023-10-26 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-07-06 2023-09-08 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-06 2023-09-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-07-06 2023-09-08 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2023-07-06 2023-09-08 Y

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