Deficiency Records for Lancashire Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Lancashire Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-03 | 2022-03-18 | 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 | 2022-02-03 | 2022-03-18 | 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 | 2022-02-03 | 2022-03-18 | N |
| 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 | 2022-02-03 | 2022-03-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-03 | 2022-03-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-03 | 2022-03-18 | 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 | 2022-02-03 | 2022-03-18 | N |
| Provide or obtain dental services for each resident. | Health | 2022-02-03 | 2022-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-03-18 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-03 | 2022-03-18 | 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 | 2022-02-03 | 2022-02-28 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-02-03 | 2022-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-25 | 2019-03-01 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-25 | 2019-03-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-25 | 2019-03-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-01-25 | 2019-03-01 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-01-25 | 2019-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-25 | 2019-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-25 | 2019-03-01 | 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 | 2017-11-03 | 2018-02-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-11-03 | 2018-02-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-11-03 | 2018-02-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-10-12 | 2017-11-13 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-12 | 2017-11-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-12 | 2017-11-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-12 | 2017-11-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-10-12 | 2017-11-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-12 | 2017-11-13 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-10-12 | 2017-11-13 | N |
