Deficiency Records for Lakeside Nursing and Rehabilitation Center
Updated as of January 01, 2022
This is not the most recent data for Lakeside Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Lakeside Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-09-16 | 2020-10-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-16 | 2020-10-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-16 | 2020-10-16 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2020-09-16 | 2020-10-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-10 | 2020-02-04 | 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 | 2020-01-10 | 2020-02-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-10 | 2020-02-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-10 | 2020-02-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-10 | 2020-02-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-01-10 | 2020-02-04 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2020-01-10 | 2020-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-02-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-10 | 2020-02-04 | N |
| Keep all essential equipment working safely. | Health | 2020-01-10 | 2020-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-07 | 2020-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-11 | 2019-10-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-01 | 2019-03-01 | 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 | 2019-02-01 | 2019-03-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-01 | 2019-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-01 | 2019-03-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-01 | 2019-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-01 | 2019-03-01 | N |
| Dispose of garbage and refuse properly. | Health | 2019-02-01 | 2019-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-30 | 2019-03-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-30 | 2019-03-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-30 | 2019-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-16 | 2018-02-19 | 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 | 2017-12-16 | 2018-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-16 | 2018-02-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-12-15 | 2018-01-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-12-15 | 2018-01-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-12-15 | 2018-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-15 | 2018-01-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-15 | 2018-01-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-15 | 2018-01-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-12-15 | 2018-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-12-15 | 2018-01-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-16 | 2018-01-11 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2017-12-16 | 2018-01-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-12-16 | 2018-01-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-16 | 2018-01-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2017-12-16 | 2018-01-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2017-12-16 | 2018-01-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-16 | 2018-01-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-16 | 2018-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-16 | 2018-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-16 | 2018-01-11 | 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 | 2017-12-16 | 2018-01-11 | 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 | 2017-12-16 | 2018-01-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-16 | 2018-01-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2017-12-16 | 2018-01-11 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2017-12-16 | 2018-01-11 | 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 | 2017-12-16 | 2018-01-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2017-12-16 | 2018-01-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-16 | 2018-01-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2017-12-16 | 2018-01-11 | N |
