Deficiency Records for Five Points at Lake Highlands Nursing and Rehab
Updated as of August 01, 2018
This is not the most recent data for Five Points at Lake Highlands Nursing and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Five Points at Lake Highlands Nursing and Rehab. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-28 | 2017-10-27 | 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 | 2017-09-28 | 2017-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-28 | 2017-10-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-29 | 2017-10-27 | N |
| Dispose of garbage and refuse properly. | Health | 2017-09-29 | 2017-10-27 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-09-29 | 2017-10-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-09-29 | 2017-10-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-09-29 | 2017-10-27 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-29 | 2017-10-27 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-29 | 2017-10-27 | Y |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-09-29 | 2017-10-27 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2017-09-29 | 2017-10-27 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-17 | 2017-03-17 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-19 | 2016-11-11 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-10-19 | 2016-11-11 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-10-19 | 2016-11-11 | N |
| Proper backup exit lighting. | Fire Safety | 2016-10-19 | 2016-11-11 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-10-19 | 2016-11-11 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-10-19 | 2016-11-11 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-10-19 | 2016-11-11 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-19 | 2016-11-11 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-10-19 | 2016-11-11 | Y |
| Keep all essential equipment working safely. | Health | 2016-10-19 | 2016-11-11 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-09-22 | 2016-10-14 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Portable fire extinguishers. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-11-10 | 2015-12-05 | N |
