Deficiency Records for The Lakes at Texas City
Updated as of November 01, 2020
This is not the most recent data for The Lakes at Texas City. For the most recent information, click here.
A list of the most recent deficiencies for The Lakes at Texas City. 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? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-24 | 2019-10-25 | Y |
| 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 | 2019-09-24 | 2019-10-25 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-08-22 | 2019-09-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-22 | 2019-09-25 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-10 | 2019-06-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-10 | 2019-06-24 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-05-10 | 2019-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-10 | 2019-06-24 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-05-10 | 2019-06-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-10 | 2019-06-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-10 | 2019-06-10 | 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 | 2019-05-10 | 2019-06-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-10 | 2019-06-10 | 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 | 2019-05-10 | 2019-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-10 | 2019-06-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-05-10 | 2019-06-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-10 | 2019-06-10 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-05-10 | 2019-06-10 | 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 | 2019-05-10 | 2019-06-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-10 | 2019-06-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-10 | 2019-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-05-10 | 2019-06-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-17 | 2019-05-30 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-03 | 2019-05-24 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-04-03 | 2019-05-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-04-03 | 2019-05-24 | Y |
| Post nurse staffing information every day. | Health | 2019-04-03 | 2019-05-24 | Y |
| 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 | 2019-04-03 | 2019-05-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-08 | 2019-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-08 | 2019-03-08 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-02-08 | 2019-03-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-25 | 2018-06-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-24 | 2018-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-24 | 2018-06-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-05-24 | 2018-06-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-24 | 2018-06-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-24 | 2018-06-04 | 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 | 2018-05-25 | 2018-06-04 | 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 | 2018-05-25 | 2018-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-25 | 2018-06-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-05-25 | 2018-06-04 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-04-18 | 2018-05-09 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-04-18 | 2018-04-19 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-04-18 | 2018-04-19 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-04-27 | 2017-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-27 | 2017-05-22 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-04-28 | 2017-05-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-04-28 | 2017-05-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-28 | 2017-05-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-28 | 2017-05-22 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-28 | 2017-05-22 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-04-28 | 2017-05-22 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-28 | 2017-05-22 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-04-28 | 2017-05-22 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-04-28 | 2017-05-22 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-04-28 | 2017-05-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-28 | 2017-05-22 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-28 | 2017-05-22 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-28 | 2017-05-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-28 | 2017-05-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-28 | 2017-05-22 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-04-28 | 2017-05-22 | N |
