Deficiency Records for Lakewood Manor

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Updated as of March 01, 2024

A list of the most recent deficiencies for Lakewood Manor. 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?
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2023-06-23 2023-07-20 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-06-23 2023-07-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-23 2023-07-20 N
Provide and implement an infection prevention and control program. Health 2022-08-30 2022-10-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-08-30 2022-10-17 N
Report COVID19 data to residents and families. Health 2022-08-30 2022-10-17 N
Perform COVID19 testing on residents and staff. Health 2022-08-30 2022-10-17 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 2022-08-30 2022-10-17 N
Ensure staff are vaccinated for COVID-19 Health 2022-08-30 2022-10-17 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2021-04-01 2021-07-30 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-04-01 2021-06-16 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-04-01 2021-06-16 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-04-01 2021-06-16 N
Respond appropriately to all alleged violations. Health 2021-04-01 2021-06-16 N
Ensure each resident receives an accurate assessment. Health 2021-04-01 2021-06-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-01 2021-06-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-01 2021-06-16 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-01 2021-06-16 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-04-01 2021-06-16 N
Provide enough food/fluids to maintain a resident's health. Health 2021-04-01 2021-06-16 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2021-04-01 2021-06-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-01 2021-06-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-01 2021-06-16 N
Provide and implement an infection prevention and control program. Health 2021-04-01 2021-06-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-04-06 2021-05-07 N
Meet other general requirements. Fire Safety 2018-08-29 2018-11-09 N
Use approved construction type or materials. Fire Safety 2018-08-29 2018-11-09 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-08-29 2018-11-09 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 2018-08-29 2018-11-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-29 2018-11-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-08-29 2018-11-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-08-29 2018-11-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-08-29 2018-11-09 N
Have proper medical gas storage and administration areas. Fire Safety 2018-08-29 2018-11-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-08-16 2018-09-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-08-16 2018-09-28 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2018-08-16 2018-09-28 N
Provide and implement an infection prevention and control program. Health 2018-08-16 2018-09-28 N