Deficiency Records for Lake Lodge Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Lake Lodge Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-11-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-16 | 2023-10-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-16 | 2023-10-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-16 | 2023-10-17 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-11 | 2023-10-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-11 | 2023-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-11 | 2023-10-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-08 | 2023-10-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-08 | 2023-10-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-08 | 2023-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-08 | 2023-10-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-08 | 2023-10-13 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-09-11 | 2023-10-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-11 | 2023-09-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-11 | 2023-09-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-11 | 2023-09-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-21 | 2023-07-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-21 | 2023-07-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-07-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-21 | 2023-07-22 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-04 | 2022-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-06-28 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-08-18 | 2021-09-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-08-18 | 2021-09-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-18 | 2021-09-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-28 | 2021-06-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-28 | 2021-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-28 | 2021-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-28 | 2021-06-24 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-05-26 | 2021-06-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-26 | 2021-06-14 | 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 | 2021-05-26 | 2021-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-26 | 2021-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-03 | 2021-06-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-05-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-06 | 2021-05-28 | Y |
