Deficiency Records for Lake Jackson Healthcare Center
Updated as of May 01, 2024
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Deficiency Records for Lake Jackson Healthcare Center
A list of the most recent deficiencies for Lake Jackson Healthcare Center. 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 Lake Jackson Healthcare Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-06 | 2023-04-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-06 | 2023-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-04-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-06 | 2023-04-10 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-06 | 2023-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-06 | 2023-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-13 | 2022-02-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-01-13 | 2022-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-14 | 2022-02-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-01-14 | 2022-02-14 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-13 | 2022-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-14 | 2022-02-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-14 | 2022-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-03 | 2021-12-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-03 | 2021-09-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-03 | 2021-09-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-25 | 2021-07-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-25 | 2021-07-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-25 | 2021-07-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-25 | 2021-07-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-25 | 2021-07-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-11-19 | 2020-12-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-11-19 | 2020-12-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-11-19 | 2020-12-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-11-19 | 2020-12-31 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2020-11-19 | 2020-12-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-11-19 | 2020-12-31 | 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 | 2020-11-19 | 2020-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-11-19 | 2020-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-11-19 | 2020-12-31 | 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 | 2020-11-19 | 2020-12-31 | N |
| Post nurse staffing information every day. | Health | 2020-11-19 | 2020-12-31 | 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 | 2020-11-19 | 2020-12-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-11-19 | 2020-12-31 | 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 | 2020-11-19 | 2020-12-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-11-19 | 2020-12-31 | 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 | 2020-11-19 | 2020-12-31 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2020-11-19 | 2020-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-19 | 2020-12-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-11-19 | 2020-11-20 | 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 | 2020-11-19 | 2020-11-20 | N |
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