Deficiency Records for Villages of Lake Highlands
Updated as of September 01, 2020
This is not the most recent data for Villages of Lake Highlands. For the most recent information, click here.
A list of the most recent deficiencies for Villages of Lake Highlands. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-07 | 2019-12-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-08 | 2019-12-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-07 | 2019-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-11-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-11-07 | 2019-11-21 | 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 | 2019-11-08 | 2019-11-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-12 | 2019-01-26 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-12-13 | 2019-01-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-13 | 2019-01-09 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-12-12 | 2018-12-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-12 | 2018-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-12 | 2018-12-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-12-12 | 2018-01-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-12-12 | 2018-01-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-15 | 2018-01-08 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2017-12-15 | 2018-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-15 | 2018-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-15 | 2018-01-08 | N |
