Deficiency Records for Ascension Living - Lakeshore at Siena
Updated as of August 01, 2021
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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-18 | 2021-04-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-18 | 2021-04-08 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2021-03-16 | 2021-03-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-16 | 2021-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-15 | 2019-04-05 | N |
| 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 necessary and PRN use is limited. | 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 |
