Deficiency Records for Holland Lake Rehabilitation and Wellness Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Holland Lake Rehabilitation and Wellness 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-09-14 | 2023-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-09-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-14 | 2023-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-31 | 2023-09-04 | 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 | 2023-08-31 | 2023-09-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-31 | 2023-09-04 | 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 | 2023-08-31 | 2023-09-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-31 | 2023-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-31 | 2023-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-13 | 2022-10-14 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-06-30 | 2022-07-01 | 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 | 2022-06-30 | 2022-07-01 | N |
| Post nurse staffing information every day. | Health | 2022-06-30 | 2022-07-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-30 | 2022-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-19 | 2022-05-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-08 | 2022-02-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-10 | 2021-09-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-10 | 2021-09-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-24 | 2021-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-25 | 2021-04-16 | N |
