Inspection Results » Lakewood Healthcare Center

Health Inspection on April 9, 2019 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2019-05-17)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-05-17)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-05-17)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-17)
   • Provide activities to meet all resident's needs. (Corrected 2019-05-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-05-17)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2019-05-17)
   • 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. (Corrected 2019-05-17)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-05-17)
   • 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. (Corrected 2019-05-17)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-05-17)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-17)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-05-17)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-17)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2019-05-17)
   • 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 ne (Corrected 2019-05-17)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-17)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-17)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-17)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-05-17)
   • Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. (Corrected 2019-05-17)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-05-17)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-17)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2019-05-17)
   • Post nurse staffing information every day. (Corrected 2019-05-17)

3. Pattern: No actual harm with potential for minimal harm

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2019-05-17)