A list of the most recent deficiencies for Lytle Nursing Home. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-03 | 2023-11-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-22 | 2023-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-22 | 2023-04-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-03-22 | 2023-04-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-22 | 2023-04-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-22 | 2023-04-28 | 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 | 2023-03-22 | 2023-04-28 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-03-22 | 2023-04-28 | N |
| Have policies on smoking. | Health | 2023-03-22 | 2023-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-21 | 2023-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-21 | 2023-04-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-21 | 2023-04-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-21 | 2023-04-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-04-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-21 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-21 | 2023-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-11 | 2022-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-05 | 2022-04-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-23 | 2022-03-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-23 | 2022-03-30 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-01-30 | 2022-03-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-01-30 | 2022-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-30 | 2022-03-10 | 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 | 2022-01-30 | 2022-03-10 | 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 | 2022-01-30 | 2022-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-30 | 2022-03-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-01-30 | 2022-03-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-01-30 | 2022-03-10 | 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 | 2022-01-30 | 2022-03-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-30 | 2022-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-03-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-25 | 2022-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-01-25 | 2022-03-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-30 | 2022-02-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-30 | 2022-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-30 | 2022-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-10-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-16 | 2021-10-20 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2020-10-21 | 2020-11-30 | 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 | 2020-10-21 | 2020-11-30 | 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 | 2020-10-21 | 2020-11-30 | 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 | 2020-10-21 | 2020-11-30 | 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 | 2020-10-21 | 2020-11-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-21 | 2020-11-30 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-10-21 | 2020-11-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-10-21 | 2020-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-21 | 2020-11-30 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-10-21 | 2020-11-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-20 | 2020-11-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-10-20 | 2020-11-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-20 | 2020-11-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-20 | 2020-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-20 | 2020-11-27 | N |
