LAKE TERRACE HEALTH AND REHABILITATION CENTER - MILWAUKEE, WI

Institution representatives - add corrected or new information about LAKE TERRACE HEALTH AND REHABILITATION CENTER »

Staff Information

Quality Measures

Complaint Deficiency

Approved construction type or materials: Some (Actual harm)

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: Some (Actual harm)

A two-hour-resistant firewall in common walls: Many (Actual harm)

Operate and provide services according to Federal, State, and local laws and professional standards: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Few (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Many (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

1) Hire only people with 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: Some (Minimal harm or potential for actual harm)

Restrictions on the use of highly flammable materials: Many (Potential for minimal harm)

Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion: Few (Minimal harm or potential for actual harm)

Provide special eating equipment and utensils for each resident who needs them: Few (Minimal harm or potential for actual harm)

Employ or obtain outside professional resources providing services in the nursing home that meet professional standards: Many (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Post nurse staffing information/data on a daily basis: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Immediate jeopardy to resident health or safety)

Proper construction of ducts through walls designed to prevent smoke passage: Some (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Some (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Few (Minimal harm or potential for actual harm)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Hire sufficient dietary support personnel: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Immediate jeopardy to resident health or safety)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Provide doctors orders for the resident's immediate care, at the time the resident was admitted: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Some (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Few (Immediate jeopardy to resident health or safety)

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: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Actual harm)

Proper backup exit lighting: Few (Actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Provide proof that all residents' personal money which is deposited with the nursing home, is secure: Some (Actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Actual harm)

Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Actual harm)

Send and promptly deliver unopened mail to residents: Some (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm)

Provide food in a way that meets a resident's needs: Many (Potential for minimal harm)

Exits that are free from obstructions and can be used at all times: Many (Actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Portable fire extinguishers: Many (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Proper fire barriers, ventilation and signs for the transport of oxygen: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Many (Minimal harm or potential for actual harm)

Exit stairways and towers that are smoke proof: Many (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

Proper backup exit lighting: Many (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

An automatic smoke detection system in all hallways: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Many (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Other fire safety features required by fire safety codes: Many (Actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Many (Minimal harm or potential for actual harm)

An approved back-up procedure for a faulty fire alarm system: Many (Minimal harm or potential for actual harm)

Give each resident a notice of rights, rules, services and charges. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for: Some (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Some (Minimal harm or potential for actual harm)

Try to resolve each resident's complaints quickly: Some (Minimal harm or potential for actual harm)

Keep each resident free from physical restraints, unless needed for medical treatment: Few (Minimal harm or potential for actual harm)

1) Hire only people with 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: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Immediate jeopardy to resident health or safety)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Some (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Dispose of garbage and refuse properly: Many (Potential for minimal harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm)

Be administered in an acceptable way that maintains the well-being of each resident : Many (Actual harm)

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Some (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: Some (Minimal harm or potential for actual harm)

Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detectors: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Rooms that can be unlocked from inside without a key: Some (Minimal harm or potential for actual harm)

An automatic smoke detection system in all hallways: Some (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Properly constructed linen or trash chutes: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Make sure that special or therapeutic diets are ordered by the attending doctor: Few (Minimal harm or potential for actual harm)

Other nearby hospitals and nursing homes

• CARES R US HOME HEALTH CARE AG LTD 308 (0.09 miles)
• ST JOHNS HOME HEALTH SERVICE (0.34 miles)
• LINDEN GROVE (0.26 miles)
• MILWAUKEE CATHOLIC HOME (0.22 miles)
• SETON HEALTH CARE SERVICES INC (0.19 miles)
• SETON HOSPICE (0.19 miles)
• COLUMBIA ST MARY'S HOSPITAL MILWAUKEE (0.33 miles)