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? |
---|---|---|---|---|
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-09 | 2024-02-17 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-09 | 2024-02-17 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-09 | 2024-02-17 | Y |
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 |