A list of the most recent deficiencies for Lake Park 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2024-01-18 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-01 | 2023-11-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-26 | 2023-11-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-10-26 | 2023-11-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-26 | 2023-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-11-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-26 | 2023-11-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-26 | 2023-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-26 | 2023-11-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-05 | 2023-10-25 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-11 | 2022-09-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-11 | 2022-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-09-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-11 | 2022-09-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-11 | 2022-09-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-11 | 2022-09-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Establish methods for sharing information. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-16 | 2022-08-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-30 | 2019-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-11 | 2019-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-11 | 2019-10-01 | N |
