Deficiency Records for The Lennwood Nursing and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for The Lennwood Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-01-04 | 2024-01-05 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-13 | 2023-08-03 | 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 | 2023-07-13 | 2023-07-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-13 | 2023-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-12 | 2023-07-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-30 | 2023-02-17 | Y |
| 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 | 2022-12-12 | 2023-01-13 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-27 | 2022-06-03 | N |
| 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 | 2022-04-27 | 2022-06-03 | 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 | 2022-04-27 | 2022-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-27 | 2022-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-27 | 2022-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-27 | 2022-06-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-27 | 2022-06-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-27 | 2022-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-27 | 2022-06-03 | 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 | 2022-04-28 | 2022-05-27 | 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 | 2022-04-28 | 2022-05-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-28 | 2022-05-27 | 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 | 2022-04-28 | 2022-05-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-28 | 2022-05-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-05-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-27 | 2021-12-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-27 | 2021-12-31 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-11-27 | 2021-12-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-27 | 2021-12-31 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-27 | 2021-12-31 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-11-27 | 2021-11-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-09 | 2019-10-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-09 | 2019-10-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-09 | 2019-10-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-09 | 2019-10-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-09 | 2019-10-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-09 | 2019-10-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-10-09 | 2019-10-10 | N |
