CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lily Springs Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Lily Springs Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lily Springs Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2026-01-07 | 2026-01-31 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-11-19 | 2025-12-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-26 | 2025-12-05 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-11-26 | 2025-12-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-22 | 2025-09-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-10 | 2025-07-11 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-05 | 2025-05-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-05 | 2025-05-30 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2025-05-05 | 2025-05-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-05-05 | 2025-05-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-05 | 2025-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-05 | 2025-05-06 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2025-05-05 | 2025-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-05 | 2025-05-06 | N |
| Provide activities to meet all resident's needs. | Health | 2025-05-05 | 2025-05-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-05 | 2025-05-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-05 | 2025-05-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-05 | 2025-05-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-12 | 2025-04-13 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2025-03-03 | 2025-03-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-03 | 2025-03-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-03 | 2025-03-04 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-03-03 | 2025-03-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-03 | 2025-03-04 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-03-03 | 2025-03-04 | Y |
| 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 | 2024-10-08 | 2024-11-01 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-10-08 | 2024-11-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-21 | 2024-09-06 | Y |
| 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 | 2024-08-21 | 2024-09-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-21 | 2024-09-06 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-31 | 2024-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-19 | 2024-08-08 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-13 | 2024-07-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-13 | 2024-07-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-13 | 2024-07-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-19 | 2024-04-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-04 | 2024-04-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-04 | 2024-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-04-05 | Y |
| 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 | 2024-04-04 | 2024-04-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-31 | 2024-03-08 | 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 | 2024-01-31 | 2024-03-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-01-31 | 2024-03-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-31 | 2024-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-31 | 2024-03-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-31 | 2024-03-08 | 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 | 2024-01-31 | 2024-03-08 | 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 | 2024-01-31 | 2024-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-31 | 2024-03-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-31 | 2024-03-08 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-31 | 2024-03-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-29 | 2023-08-16 | Y |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-11-30 | 2023-06-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-30 | 2023-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-30 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-30 | 2023-06-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-30 | 2023-06-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-30 | 2023-06-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-30 | 2022-12-27 | 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 | 2022-11-30 | 2022-12-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-30 | 2022-12-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-11-30 | 2022-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-30 | 2022-12-27 | N |
| Dispose of garbage and refuse properly. | Health | 2022-11-30 | 2022-12-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-30 | 2022-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2022-12-27 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-11-30 | 2022-12-27 | N |