Deficiency Records for Lakewood Healthcare Center
Updated as of November 01, 2022
This is not the most recent data for Lakewood Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Lakewood Healthcare Center. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-20 | 2022-06-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-20 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-31 | 2022-05-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-31 | 2022-05-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-31 | 2022-05-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-27 | 2021-08-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-07-27 | 2021-08-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-27 | 2021-08-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-27 | 2021-08-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-07-27 | 2021-08-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-27 | 2021-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-27 | 2021-08-25 | 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 | 2021-07-27 | 2021-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-27 | 2021-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-27 | 2021-08-25 | 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 | 2021-07-27 | 2021-08-25 | N |
| 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 | 2021-07-27 | 2021-08-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-07-27 | 2021-08-25 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-07-27 | 2021-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-27 | 2021-08-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-27 | 2021-08-25 | N |
| Keep all essential equipment working safely. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-27 | 2021-08-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-27 | 2021-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-23 | 2021-08-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-12 | 2021-07-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-23 | 2021-07-27 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-10-22 | 2020-12-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-10-26 | 2020-11-06 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2020-10-19 | 2020-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-08 | 2020-10-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-04-27 | 2020-10-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-04-27 | 2020-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-04-27 | 2020-10-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-05-04 | 2020-09-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-05-04 | 2020-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-05-04 | 2020-09-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-05-04 | 2020-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-07-01 | 2020-07-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-09 | 2019-05-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-09 | 2019-05-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-04-09 | 2019-05-17 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-04-09 | 2019-05-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-04-09 | 2019-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-09 | 2019-05-17 | 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 | 2019-04-09 | 2019-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-09 | 2019-05-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-09 | 2019-05-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-09 | 2019-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-09 | 2019-05-17 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-04-09 | 2019-05-17 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-04-09 | 2019-05-17 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2019-04-09 | 2019-05-17 | N |
| Post nurse staffing information every day. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-09 | 2019-05-17 | 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 | 2019-04-09 | 2019-05-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-04-09 | 2019-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-09 | 2019-05-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-09 | 2019-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-06 | 2019-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-06 | 2019-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-06 | 2019-04-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-17 | 2018-05-10 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-04-17 | 2018-05-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-04-17 | 2018-05-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-17 | 2018-05-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-04-17 | 2018-05-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-04-17 | 2018-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-17 | 2018-05-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-17 | 2018-05-10 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-17 | 2018-05-10 | 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 | 2018-04-17 | 2018-05-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-04-17 | 2018-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-17 | 2018-05-10 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-04-17 | 2018-05-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-17 | 2018-05-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-17 | 2018-05-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-17 | 2018-05-10 | 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 | 2018-04-17 | 2018-05-10 | N |
| 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 | 2018-04-17 | 2018-05-10 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2018-04-17 | 2018-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-17 | 2018-05-10 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-04-17 | 2018-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-17 | 2018-05-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-04-17 | 2018-05-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-04-13 | 2018-05-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-13 | 2018-05-10 | N |
| Develop a communication plan. | Fire Safety | 2018-04-13 | 2018-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-13 | 2018-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-13 | 2018-05-10 | N |
