A list of the most recent deficiencies for Rocky Mountain Care - The Lodge. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-23 | 2023-04-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-13 | 2022-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-13 | 2022-03-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-13 | 2022-03-04 | 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 | 2022-01-13 | 2022-03-04 | N |
| Provide or obtain dental services for each resident. | Health | 2022-01-13 | 2022-03-04 | N |
| Meet other general requirements. | Fire Safety | 2022-01-11 | 2022-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-11 | 2022-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-11 | 2022-01-28 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-01-11 | 2022-01-28 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-08 | 2019-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-08 | 2019-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-08 | 2019-12-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-08 | 2019-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-15 | 2019-11-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-15 | 2019-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-15 | 2019-11-22 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-10-15 | 2019-11-16 | 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 | 2019-10-15 | 2019-11-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-15 | 2019-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-15 | 2019-11-15 | 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 | 2019-10-15 | 2019-11-09 | 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 | 2019-10-15 | 2019-11-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-10-15 | 2019-11-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-15 | 2019-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-15 | 2019-11-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-10-15 | 2019-11-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-15 | 2019-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-15 | 2019-11-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-15 | 2019-11-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-25 | 2018-11-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-27 | 2018-10-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-27 | 2018-10-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-09-27 | 2018-10-15 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-09-27 | 2018-10-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-09-27 | 2018-10-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-09-27 | 2018-10-15 | N |
| 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 | 2018-09-27 | 2018-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-27 | 2018-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-27 | 2018-10-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-27 | 2018-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-25 | 2018-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-25 | 2018-10-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-25 | 2018-10-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-09-25 | 2018-09-26 | N |
