Deficiency Records for Ascension Living - Lakeshore at Siena
Updated as of May 01, 2019
This is not the most recent data for Ascension Living - Lakeshore at Siena. For the most recent information, click here.
A list of the most recent deficiencies for Ascension Living - Lakeshore at Siena. 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? |
|---|---|---|---|---|
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-27 | 2017-12-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-27 | 2017-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-27 | 2017-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-27 | 2017-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-27 | 2017-12-01 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-08-02 | 2016-08-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-08-02 | 2016-08-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-02 | 2016-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-02 | 2016-08-22 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-07-29 | 2016-08-10 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-24 | 2016-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-24 | 2016-06-17 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-05-14 | 2015-05-29 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-05-11 | 2015-05-28 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2015-05-11 | 2015-05-26 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2015-05-14 | 2015-05-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-05-14 | 2015-05-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-14 | 2015-05-22 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-05-11 | 2015-05-11 | N |
