A list of the most recent deficiencies for Brightpointe at Lytle Lake. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-18 | 2024-01-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-18 | 2024-01-25 | Y |
| 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 | 2024-01-18 | 2024-01-25 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-01-18 | 2024-01-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-18 | 2024-01-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-18 | 2024-01-25 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-18 | 2024-01-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-23 | 2023-11-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-23 | 2023-11-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-23 | 2023-11-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-30 | 2023-07-31 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-29 | 2022-12-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-29 | 2022-12-30 | 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 | 2022-11-29 | 2022-12-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-29 | 2022-12-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-01 | 2021-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-01 | 2021-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-01 | 2021-10-25 | 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 | 2021-10-01 | 2021-10-25 | 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 | 2021-10-01 | 2021-10-25 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-10-01 | 2021-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-01 | 2021-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-01 | 2021-10-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-01 | 2021-10-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-19 | 2021-10-22 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-09-11 | 2021-09-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-11 | 2021-09-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-11 | 2021-09-27 | Y |
