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Deficiency Records for Edenbrook Lakeside
View the most recent health deficiencies and inspection results for Edenbrook Lakeside. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Edenbrook Lakeside. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2025-02-26 | 2025-03-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-02-26 | 2025-03-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-24 | 2024-11-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-24 | 2024-11-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-24 | 2024-11-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-24 | 2024-11-18 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-24 | 2024-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-24 | 2024-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-24 | 2024-11-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-24 | 2024-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-24 | 2024-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-24 | 2024-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-24 | 2024-11-18 | 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 | 2024-10-24 | 2024-11-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-27 | 2024-03-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-27 | 2024-03-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-10 | 2024-03-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-24 | 2024-03-05 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-01-24 | 2024-02-22 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-06 | 2024-01-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-06 | 2024-01-02 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-19 | 2023-12-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-19 | 2023-12-28 | 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 | 2023-09-19 | 2023-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-19 | 2023-10-17 | Y |
| 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 | 2023-09-19 | 2023-10-17 | 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 | 2023-09-19 | 2023-10-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-09-19 | 2023-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-19 | 2023-10-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-19 | 2023-10-17 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-19 | 2023-10-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-19 | 2023-10-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-09-19 | 2023-10-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-19 | 2023-10-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-19 | 2023-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-25 | 2022-06-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-25 | 2022-06-24 | N |
| Post nurse staffing information every day. | Health | 2022-05-25 | 2022-06-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-25 | 2022-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-25 | 2022-06-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-25 | 2022-06-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-25 | 2022-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-25 | 2022-06-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-25 | 2022-06-24 | 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 | 2022-05-25 | 2022-06-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-25 | 2022-06-24 | 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 | 2022-05-25 | 2022-06-24 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-05-25 | 2022-06-24 | 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 | 2022-05-25 | 2022-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-05-25 | 2022-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-25 | 2022-06-24 | N |