Deficiency Records for Ascension Living - Lakeshore at Siena
Updated as of May 01, 2020
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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-13 | 2019-04-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-13 | 2019-04-05 | 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 | 2019-03-13 | 2019-04-05 | 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 | 2019-03-13 | 2019-04-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-13 | 2019-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-13 | 2019-04-05 | 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 ne | Health | 2019-03-13 | 2019-04-05 | N |
| 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 |
| 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 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-02 | 2016-08-22 | N |
| 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 |
