A list of the most recent deficiencies for Lake Taylor Hosp. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-28 | 2022-06-10 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-28 | 2022-06-10 | Y |
| 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 | 2021-10-15 | 2021-12-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-15 | 2021-12-22 | 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 | 2021-10-15 | 2021-12-22 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-15 | 2021-12-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-15 | 2021-12-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-10-15 | 2021-12-22 | N |
| Post nurse staffing information every day. | Health | 2021-10-15 | 2021-12-22 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2021-10-15 | 2021-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-15 | 2021-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-05 | 2019-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-05 | 2019-01-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-01 | 2018-12-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-01 | 2018-12-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-11-01 | 2018-12-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-01 | 2018-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-01 | 2018-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-01 | 2018-12-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-01 | 2018-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2018-12-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-01 | 2018-12-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-11-01 | 2018-12-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-01 | 2018-12-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-11-01 | 2018-12-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-11-01 | 2018-12-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-11-01 | 2018-12-16 | N |
| Establish methods for sharing information. | Fire Safety | 2018-11-01 | 2018-12-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-11-01 | 2018-12-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-01 | 2018-12-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-11-01 | 2018-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-02 | 2017-06-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-05-02 | 2017-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-02 | 2017-06-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-05-02 | 2017-06-06 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2017-04-06 | 2017-05-19 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-04-06 | 2017-05-19 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-04-06 | 2017-05-19 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-04-06 | 2017-05-19 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-06 | 2017-05-19 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-04-06 | 2017-05-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-06 | 2017-05-19 | N |
