Inspection Results: LAKEVIEW CARE CENTER

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LAKEVIEW CARE CENTER

P O BOX 8, 404 EAST 8TH STREET, Firth, Nebraska 68358, (402) 791-5588

Inspection Results: May 14, 2008
Type	Corrected	Category	Severity	Deficiency
Fire Safety	No Issues Reported
Inspection Results: May 01, 2008
Type	Corrected	Category	Severity	Deficiency
Health	06/15/2008	Pharmacy Service Deficiencies	Minimal harm or potential for actual harm	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.
Health	06/15/2008	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give professional services that meet a professional standard of quality.
Health	06/15/2008	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	Make sure that residents are well nourished.
Health	06/15/2008	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	Provide food in a way that meets a resident's needs.
Health	06/15/2008	Resident Assessment Deficiencies	Minimal harm or potential for actual harm	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.
Health	06/15/2008	Mistreatment Deficiencies	Minimal harm or potential for actual harm	1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Health	06/15/2008	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that each resident's nutritional needs were met.
Health	06/15/2008	Quality Care Deficiencies	Minimal harm or potential for actual harm	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
Inspection Results: October 09, 2007
Type	Corrected	Category	Severity	Deficiency
Fire Safety	11/09/2007	Building Contruction Deficiencies	Minimal harm or potential for actual harm	approved construction type or materials.
Fire Safety	11/09/2007	Automatic Sprinkler Systems Deficiencies	Minimal harm or potential for actual harm	automatic sprinkler systems that have been maintained in working order.
Fire Safety	11/09/2007	Electrical Deficiencies	Minimal harm or potential for actual harm	properly installed electrical wiring and equipment.
Fire Safety	11/15/2007	Fire Alarm Systems Deficiencies	Minimal harm or potential for actual harm	properly maintained smoke detectors.
Fire Safety	11/09/2007	Emergency Plans and Fire Drills Deficiencies	Minimal harm or potential for actual harm	record of quarterly fire drills for each shift under varying conditions.
Fire Safety	11/09/2007	Electrical Deficiencies	Minimal harm or potential for actual harm	weekly inspections and monthly testing of generators.
Fire Safety	11/09/2007	Hazardous Area Deficiencies	Minimal harm or potential for actual harm	construction that can resist fire for one hour or an approved fire extinguishing system.
Inspection Results: September 27, 2007
Type	Corrected	Category	Severity	Deficiency
Health	11/03/2007	Environmental Deficiencies	Minimal harm or potential for actual harm	Have enough backup water supply for important areas of the nursing home.
Health	11/03/2007	Environmental Deficiencies	Minimal harm or potential for actual harm	Have a program to keep infection from spreading.
Health	11/03/2007	Pharmacy Service Deficiencies	Minimal harm or potential for actual harm	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.
Health	11/03/2007	Pharmacy Service Deficiencies	Minimal harm or potential for actual harm	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Health	11/03/2007	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	Make sure that residents are well nourished.
Health	11/03/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	offer Flu or Pneumococal vaccine to some residents.
Health	11/03/2007	Nutrition and Dietary Deficiencies	Minimal harm or potential for actual harm	Store, cook, and give out food in a safe and clean way.
Health	11/03/2007	Resident Assessment Deficiencies	Minimal harm or potential for actual harm	Develop a plan with the resident and family for the resident's care after leaving the nursing home.
Health	11/03/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give each resident care and services to get or keep the highest quality of life possible.
Health	11/03/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.
Health	11/03/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that each resident's nutritional needs were met.
Health	11/03/2007	Pharmacy Service Deficiencies	Minimal harm or potential for actual harm	Make sure that residents are safe from serious medication errors.
Health	11/03/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.
Health	11/03/2007	Quality Care Deficiencies	Minimal harm or potential for actual harm	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.
Health	11/03/2007	Resident Rights Deficiencies	Minimal harm or potential for actual harm	Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help.
Inspection Results: September 20, 2006
Type	Corrected	Category	Severity	Deficiency
Fire Safety	No Issues Reported
Inspection Results: July 26, 2006
Type	Corrected	Category	Severity	Deficiency
Health	09/09/2006	Quality Care Deficiencies	Actual harm	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Health	09/09/2006	Quality Care Deficiencies	Actual harm	Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion.
Health	11/28/2006	Environmental Deficiencies	Minimal harm or potential for actual harm	Have a program to keep infection from spreading.
Health	09/09/2006	Environmental Deficiencies	Minimal harm or potential for actual harm	Have enough outside airflow.
Health	09/09/2006	Environmental Deficiencies	Minimal harm or potential for actual harm	Provide needed housekeeping and maintenance.
Health	11/28/2006	Resident Rights Deficiencies	Minimal harm or potential for actual harm	Try to resolve each resident's complaints quickly.
Health	09/09/2006	Resident Assessment Deficiencies	Minimal harm or potential for actual harm	Do a new assessment after any major change in a resident's physical or mental health.
Health	11/28/2006	Quality Care Deficiencies	Minimal harm or potential for actual harm	Give professional services that meet a professional standard of quality.
Health	11/28/2006	Quality Care Deficiencies	Minimal harm or potential for actual harm	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.
Health	11/28/2006	Environmental Deficiencies	Minimal harm or potential for actual harm	Stop employees, who have a disease that can spread, from having direct contact with residents or food.

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