Scott Lake Health and Rehabilitation Center

Reasonably accommodate the needs and preferences of each resident.

Tag F0558 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction May 15, 2026

PASARR screening for Mental disorders or Intellectual Disabilities

Tag F0645 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 15, 2026

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.

Tag F0761 · CMS scope and severity F (no actual harm, potential for more than minimal harm; widespread) · Deficient, Provider has date of correction May 15, 2026

Make sure that a working call system is available in each resident's bathroom and bathing area.

Tag F0919 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction May 15, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag F0656 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Nov 26, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag F0600 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Oct 24, 2025

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.

Tag F0726 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Oct 24, 2025

Ensure that residents are free from significant medication errors.

Tag F0760 · CMS scope and severity J (immediate jeopardy; isolated) · from a complaint inspection · Deficient, Provider has date of correction Oct 24, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag F0580 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · from a complaint inspection · Deficient, Provider has date of correction Jan 30, 2025

Ensure medication error rates are not 5 percent or greater.

Tag F0759 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Jan 30, 2025

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.

Tag F0584 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Dec 15, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

Tag F0645 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Dec 15, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Tag F0684 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Dec 15, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag F0689 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Dec 15, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Tag F0755 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Dec 15, 2023

Ensure medication error rates are not 5 percent or greater.

Tag F0759 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · from a complaint inspection · Deficient, Provider has date of correction Dec 15, 2023

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.

Tag F0761 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Dec 15, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag F0812 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Dec 15, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Tag F0561 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 30, 2021

Honor the resident's right to organize and participate in resident/family groups in the facility.

Tag F0565 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 30, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

Tag F0677 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 30, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Tag F0756 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 30, 2021

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.

Tag F0758 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Dec 24, 2021

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Tag F0867 · CMS scope and severity E (no actual harm, potential for more than minimal harm; pattern) · Deficient, Provider has date of correction Dec 24, 2021

Have approved installation, maintenance and testing program for fire alarm systems.

Tag K0345 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Dec 4, 2023

Inspect, test, and maintain automatic sprinkler systems.

Tag K0353 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Dec 4, 2023

Have proper medical gas storage and administration areas.

Tag K0923 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Nov 21, 2023

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Tag K0211 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 30, 2021

Have properly installed hallway dispensers for alcohol-based hand rub.

Tag K0325 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 30, 2021

Have proper medical gas storage and administration areas.

Tag K0923 · CMS scope and severity D (no actual harm, potential for more than minimal harm; isolated) · Deficient, Provider has date of correction Oct 30, 2021