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The Lakes

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 146
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 08/01/2011

Date of last standard health inspection: 08/01/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 5
Average number of Health Deficiencies in OK: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in OK: 0 - 12
Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 00/02/2012 02/08/2012 Some complete and organized clinical records on each re
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/02/2012 02/08/2012 2 Some
Ensure that residents are safe from serious medication errors. 00/02/2012 02/08/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 00/02/2012 02/08/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs 00/02/2012 02/08/2012 Few with timetables and actions that can be measured.

Inspection, 02/05/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 02/05/2010 02/07/2011 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/05/2010 00/07/2001 2 Some
Keep accurate 02/05/2010 02/07/2011 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2010 00/01/2011 4 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/05/2010 00/01/2011 4 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 02/05/2010 02/07/2011 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/05/2010 02/07/2011 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/05/2010 02/07/2011 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/05/2010 02/07/2011 2 Some
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 02/05/2010 02/07/2011 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/05/2010 02/07/2011 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2010 00/07/2001 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 02/05/2010 02/07/2011 2 Some
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/05/2010 02/07/2011 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/05/2010 02/07/2011 2 Some
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/05/2010 02/07/2011 2 Some

Inspection, 00/01/2008

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 00/01/2008 00/06/2009 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/01/2008 00/06/2009 2 Some
Keep accurate 00/01/2008 00/06/2009 Some complete and organized clinical records on each re
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 00/01/2008 00/06/2009 2 Some
Provide housekeeping and maintenance services. 00/01/2008 00/06/2009 2 Some
Dispose of garbage and refuse properly. 00/01/2008 00/06/2009 1 Some
Have a program that investigates, controls and keeps infection from spreading. 00/01/2008 00/06/2009 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/01/2008 00/06/2009 2 Some
Provide housekeeping and maintenance services. 00/01/2008 00/06/2009 2 Some
Have a program that investigates 00/01/2008 00/06/2009 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 00/01/2008 00/06/2009 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/01/2008 00/06/2009 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/01/2008 00/06/2009 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/01/2008 00/06/2009 3 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 00/01/2008 00/06/2009 3 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2008 00/06/2009 3 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 00/01/2008 00/06/2009 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/01/2008 00/06/2009 3 Some
Assist those residents who need help with eating/drinking 00/01/2008 00/06/2009 Some grooming and personal and oral hygiene.
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/01/2008 00/06/2009 2 Some
Ensure each resident receives an accurate assessment by a qualified health professional. 00/01/2008 00/06/2009 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 00/01/2008 00/06/2009 1 Many
Allow residents to easily view the results of the nursing home's most recent inspection. 00/01/2008 00/06/2009 1 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2008 00/06/2009 2 Some
Immediately tell the resident 00/01/2008 00/06/2009 and a family member of situations (injury/decline/ the resident's doctor
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 00/01/2008 00/06/2009 2 Some

Inspection, 02/09/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 02/09/2006 00/05/2007 Some complete and organized clinical records on each re
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide timely notification to the resident before transfer or discharge. 02/09/2006 00/05/2007 1 Some

Inspection, 02/08/2006

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention 02/08/2006 00/06/2009 investigation identification
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/08/2006 00/06/2009 3 Some

Inspection, 01/08/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. 01/08/2006 01/03/2009 2 Few
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/08/2006 00/02/2008 2 Few
Keep complete, dated laboratory records in the resident's file. 01/08/2006 00/02/2008 1 Some
Give or get x-rays and other tests in a timely manner to meet the needs of residents. 01/08/2006 00/02/2008 2 Some
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/08/2006 00/02/2008 2 Some
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 01/08/2006 00/02/2008 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/08/2006 01/03/2009 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep each resident free from physical restraints, unless needed for medical treatment. 01/08/2006 00/02/2008 2 Some
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 01/08/2006 00/02/2008 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention 01/08/2006 00/02/2008 investigation identification
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Hire sufficient dietary support personnel. 01/08/2006 00/02/2008 2 Many
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 01/08/2006 00/02/2008 2 Some
Store, cook, and serve food in a safe and clean way. 01/08/2006 00/02/2008 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/08/2006 00/02/2008 2 Some
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 01/08/2006 00/02/2008 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/08/2006 00/02/2008 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. 01/08/2006 01/03/2009 2 Some
Ensure residents maintain acceptable nutritional status. 01/08/2006 00/02/2008 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Review or revise the resident's care plan after any major change in physical or mental health. 01/08/2006 00/02/2008 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/08/2006 00/02/2008 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 01/08/2006 00/02/2008 2 Some
Make sure that doctors visit residents regularly, as required. 01/08/2006 00/02/2008 2 Some
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/08/2006 00/02/2008 2 Some
Tell the resident or the resident 01/08/2006 00/02/2008 1 Some

Inspection, 00/05/2005

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 00/05/2005 02/05/2005 Few controls and keeps infection from spreading.
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 00/05/2005 02/04/2005 2 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in OK Golden Living Center, Asheville
RN Staff Only1 N/A N/A 3 out of 5 stars
Total Number of Residents 86 64 125
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 10 hours 30 minutes 1 hour
RN Hours
per Resident per Day
16 hours 3 minutes 9 hours 42 minutes 27 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 10 hours 7 minutes 32 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 11 hours 50 minutes 2 hours 16 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 07/28/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 07/28/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in OK: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in OK: 0 - 0

Inspection, 02/03/2010

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/03/2010 02/07/2011 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/03/2010 02/07/2011 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/03/2010 02/07/2011 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/03/2010 02/07/2011 2 Many

Inspection, 02/08/2007

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 02/08/2007 00/06/2009 2 Some
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 02/08/2007 00/06/2009 2 Some
Corridor and hallway doors that block smoke. 02/08/2007 00/06/2009 2 Some
Signs that state that exit doors are to be kept closed. 02/08/2007 00/06/2009 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 02/08/2007 00/06/2009 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/08/2007 00/06/2009 2 Some
Rooms that can be unlocked from inside without a key. 02/08/2007 00/06/2009 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 02/08/2007 03/01/2008 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 02/08/2007 00/06/2009 2 Some
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 02/08/2007 00/06/2009 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/08/2007 00/06/2009 2 Some

Inspection, 01/06/2006

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved automatic sprinkler system connected to the fire alarm system. 01/06/2006 00/02/2008 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 01/06/2006 00/02/2008 2 Many
Properly installed electrical wiring and equipment. 01/06/2006 00/02/2008 2 Some
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/06/2006 00/02/2008 1 Many
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 01/06/2006 00/02/2008 2 Some
 

5701 West Britton Road
Oklahoma City, OK 73132

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