Inspection Results » Lakeview Gardens

Health Inspection on July 20, 2018 ^[1]

1. Widespread: Immediate jeopardy to the resident health or safety

   • Provide and implement an infection prevention and control program. (Corrected 2018-09-07)

2. Isolated: Actual harm that is not immediate jeopardy

   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-09-07)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-09-07)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-07)

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-07)

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

   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-09-07)

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

   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-09-07)
   • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Corrected 2018-09-07)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-07)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-02)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-07)
   • 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 2018-10-26)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-09-07)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-09-07)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-07)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-09-07)