Deficiency Records for Lawndale Healthcare and Wellness Centre LLC
Updated as of April 01, 2024
A list of the most recent deficiencies for Lawndale Healthcare and Wellness Centre LLC. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-28 | 2024-03-21 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-12-05 | 2023-12-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-05 | 2023-12-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-05 | 2023-12-31 | Y |
| 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 | 2023-12-05 | 2023-12-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-05 | 2023-12-31 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-06 | 2023-11-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-17 | 2023-02-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-19 | 2023-02-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-19 | 2023-02-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-27 | 2023-01-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-12 | 2023-01-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-02 | 2023-01-03 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-10 | 2022-08-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-10 | 2022-08-09 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-10 | 2022-08-09 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-03 | 2022-01-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-03 | 2022-01-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-03 | 2022-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-03 | 2022-01-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-03 | 2022-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-03 | 2022-01-05 | 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 | 2021-12-03 | 2022-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-03 | 2022-01-05 | 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 | 2021-12-03 | 2022-01-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-03 | 2022-01-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-03 | 2022-01-05 | 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 | 2021-12-03 | 2022-01-05 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-12-03 | 2022-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-03 | 2022-01-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-03 | 2022-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-03 | 2022-01-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-11-30 | 2021-12-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-30 | 2021-12-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-30 | 2021-12-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-30 | 2021-12-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-30 | 2021-12-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-30 | 2021-12-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-30 | 2021-12-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-30 | 2021-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-18 | 2019-09-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-08-18 | 2019-09-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-18 | 2019-09-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-18 | 2019-09-17 | N |
| Post nurse staffing information every day. | Health | 2019-08-18 | 2019-09-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-18 | 2019-09-17 | 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 | 2019-08-18 | 2019-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-18 | 2019-09-17 | N |
| Keep all essential equipment working safely. | Health | 2019-08-18 | 2019-09-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-29 | 2018-09-25 | 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 | 2018-08-29 | 2018-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-29 | 2018-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-29 | 2018-09-25 | 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 | 2018-08-29 | 2018-09-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-08-29 | 2018-09-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-29 | 2018-09-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-29 | 2018-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-29 | 2018-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-29 | 2018-09-25 | 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 | 2018-09-07 | 2018-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-07 | 2018-09-25 | N |
