A list of the most recent deficiencies for Lakeland Village Nursing Facility. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-07 | 2023-05-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-07 | 2023-05-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-16 | 2023-04-21 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-16 | 2023-04-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-16 | 2023-04-21 | Y |
| Keep all essential equipment working safely. | Health | 2023-03-16 | 2023-04-21 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-03-15 | 2023-04-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-15 | 2023-04-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-15 | 2023-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-26 | 2022-09-26 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-05-27 | 2022-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-05-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-18 | 2021-07-19 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2020-01-10 | 2020-02-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-01-10 | 2020-02-14 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2020-01-10 | 2020-02-14 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-10 | 2020-02-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-01-10 | 2020-02-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-10 | 2020-02-14 | 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 | 2020-01-10 | 2020-02-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-01-10 | 2020-02-14 | 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 | 2020-01-10 | 2020-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-10 | 2020-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-10 | 2020-01-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-10 | 2020-01-24 | 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 | 2020-01-10 | 2020-01-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2020-01-10 | 2020-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-10 | 2020-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-10 | 2020-01-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-19 | 2019-04-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-19 | 2019-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-19 | 2019-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-19 | 2019-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-26 | 2019-04-10 | 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 | 2019-03-26 | 2019-04-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-03-26 | 2019-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-26 | 2019-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-26 | 2019-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-26 | 2019-04-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-26 | 2019-04-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-26 | 2019-04-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-26 | 2019-04-10 | N |
