A list of the most recent deficiencies for Lee Health and Rehab 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-09-05 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-06-27 | 2022-08-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-27 | 2022-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-27 | 2022-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-27 | 2022-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-27 | 2022-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-27 | 2022-08-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-27 | 2022-08-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-06-27 | 2022-08-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-02 | 2022-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | 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 | 2018-12-06 | 2019-01-18 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-06 | 2019-01-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-12-06 | 2019-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-06 | 2019-01-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-06 | 2019-01-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-06 | 2019-01-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-06 | 2019-01-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-06 | 2019-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-06 | 2019-01-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-06 | 2019-01-18 | 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 | 2018-12-18 | 2019-01-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-12-18 | 2019-01-11 | N |
