Deficiency Records for Lakewest Rehabilitation and Skilled Care
Updated as of April 01, 2024
A list of the most recent deficiencies for Lakewest Rehabilitation and Skilled Care. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-19 | 2023-11-16 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-10-19 | 2023-11-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-19 | 2023-11-16 | Y |
| 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 | 2023-10-05 | 2023-10-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-10-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-05 | 2023-10-26 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-05 | 2023-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-10-26 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-05 | 2023-10-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-26 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-10-05 | 2023-10-26 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-06-13 | 2023-06-26 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-06-13 | 2023-06-26 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-13 | 2023-06-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-02 | 2023-05-26 | Y |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2023-04-20 | 2023-05-25 | Y |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-09-01 | 2022-09-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-26 | 2022-06-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-26 | 2022-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-26 | 2022-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-26 | 2022-06-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-06 | 2022-06-09 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-26 | 2022-05-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-26 | 2022-05-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-09 | 2022-03-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-09 | 2022-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-09 | 2022-03-25 | Y |
| 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 | 2021-06-22 | 2021-08-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-22 | 2021-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-22 | 2021-08-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-23 | 2021-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-07-22 | N |
