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Deficiency Records for Lake Manassas Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Lake Manassas Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lake Manassas Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-04-10 | 2026-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-10 | 2026-04-28 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2026-04-10 | 2026-04-28 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-04-10 | 2026-04-28 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-04-10 | 2026-04-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-19 | 2025-03-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-19 | 2025-03-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-17 | 2024-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-17 | 2024-07-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-17 | 2024-07-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-17 | 2024-07-31 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-04-17 | 2024-07-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-17 | 2024-07-31 | 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 | 2024-04-17 | 2024-07-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-17 | 2024-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-17 | 2024-07-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-17 | 2024-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-17 | 2024-07-31 | 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 | 2024-04-17 | 2024-07-31 | 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 | 2024-04-17 | 2024-07-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-17 | 2024-07-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-17 | 2024-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-14 | 2023-07-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-14 | 2023-07-11 | Y |
| Meet other general requirements. | Fire Safety | 2022-07-14 | 2022-08-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-14 | 2022-08-26 | 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 | 2022-07-14 | 2022-08-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-14 | 2022-08-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-14 | 2022-08-22 | 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 | 2022-07-14 | 2022-08-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-14 | 2022-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-14 | 2022-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-08-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-08-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-14 | 2022-08-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-14 | 2022-08-22 | 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 | 2022-07-14 | 2022-08-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-14 | 2022-08-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-14 | 2022-08-22 | 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 | 2022-07-14 | 2022-08-22 | 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 | 2022-07-14 | 2022-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-16 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-27 | 2020-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-03-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-27 | 2020-03-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-27 | 2020-03-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2020-03-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-27 | 2020-03-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-03-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-27 | 2020-03-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-27 | 2020-03-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-27 | 2020-03-16 | N |