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Deficiency Records for Lake Mills Health Services
View the most recent health deficiencies and inspection results for Lake Mills Health Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lake Mills Health Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-03-26 | 2025-08-01 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-07-03 | 2025-07-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-03 | 2025-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-03 | 2025-07-29 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-03 | 2025-07-29 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-03-26 | 2025-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-26 | 2025-04-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-03-26 | 2025-04-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-03-26 | 2025-04-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-03-26 | 2025-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-26 | 2025-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-26 | 2025-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-26 | 2025-04-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-03-26 | 2025-04-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-03-26 | 2025-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-26 | 2025-04-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-03-26 | 2025-04-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-03-26 | 2025-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-08 | 2024-03-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-08 | 2024-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-08 | 2024-03-21 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-02-08 | 2024-03-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-08 | 2024-03-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-08 | 2024-03-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-02-08 | 2024-03-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-02-08 | 2024-03-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-08 | 2024-03-21 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-02-08 | 2024-03-08 | 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 | 2024-02-08 | 2024-03-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-08 | 2024-03-08 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-10-10 | 2023-11-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-10 | 2023-11-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-10 | 2023-11-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-17 | 2022-11-16 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-10-17 | 2022-11-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-10-17 | 2022-11-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-17 | 2022-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-17 | 2022-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-17 | 2022-11-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-17 | 2022-11-11 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-10-17 | 2022-11-11 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-17 | 2022-11-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-17 | 2022-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-17 | 2022-11-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-17 | 2022-11-11 | 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 | 2022-10-17 | 2022-11-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-10-17 | 2022-10-21 | N |