A list of the most recent deficiencies for Lakeside Health and Wellness. 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-15 | 2023-10-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-09-15 | 2023-10-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-15 | 2023-10-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-09-15 | 2023-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-15 | 2023-10-19 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-09-15 | 2023-10-19 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-09-15 | 2023-10-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-15 | 2023-10-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-09-15 | 2023-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-15 | 2023-10-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-15 | 2023-09-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-15 | 2023-09-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-29 | 2022-08-26 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-07-29 | 2022-08-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-29 | 2022-08-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-21 | 2022-08-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-21 | 2022-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-21 | 2022-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-21 | 2022-08-10 | 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 | 2022-07-21 | 2022-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-23 | 2022-02-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-20 | 2021-11-07 | Y |
| 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 | 2021-10-20 | 2021-11-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-20 | 2021-10-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-30 | 2021-08-20 | Y |
