Silverleaf at Lakeline

The facility failed to conduct required fire drills and document fire drills on the required form.

Health VisitCited Apr 24, 2025Corrected —

The facility failed to have sufficient staff to ensure safe evacuation of the facility in the event of emergency.

Health VisitCited Apr 24, 2025Corrected —

The provider failed to ensure that night staff was immediately available and awake.

Health VisitCited Apr 24, 2025Corrected —

The facility failed to either assess a resident or to develop, approve, sign, or follow a service plan within the allowable time.

Health VisitCited Apr 24, 2025Corrected —

The facility failed to procure food from acceptable sources, or failed to handle food, subject to spoilage, as required.

Health VisitCited Apr 24, 2025Corrected —

The facility failed to ensure effective hair restraints were worn to prevent food contamination.

Health VisitCited Apr 24, 2025Corrected —

The facility failed to establish and maintain an infection control policy and procedure designated to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection.

Health VisitCited Apr 24, 2025Corrected —

The facility failed to ensure each resident was free from abuse, neglect, and exploitation.

Health VisitCited Apr 24, 2025Corrected —

The facility failed to ensure each resident's right to privacy.

Health VisitCited Apr 24, 2025Corrected —

The facility failed to ensure a bedroom had a floor area of at least 100 square feet for a single-occupancy bedroom or at least 80 square feet per resident in bedrooms occupied by more than one resident.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to ensure that there was at least one operable window in every bedroom, that the operable window opened to the outside, that the sill of the operable window was within 44 inches of the floor, and that the window could be opened from the inside by all residents who occupy the bedroom, without tools or special devices.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to ensure all resident rooms open on an exit, corridor, living area, or public area and are arranged for convenient access to dining and recreation areas.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to ensure resident room doors would latch in their frames.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to provide a manual fire alarm system that met the referenced codes and standards.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to provide a fire alarm control panel visible to facility staff or monitored by devices carried by facility staff.

Life Safety CodeCited Aug 16, 2024Corrected —

Facility failed to provide one of the listed fire sprinkler systems according to the requirements of 32.2.3.5 in NFPA 101 Chapter 32.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to protect the attic according to the referenced codes and standards.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to provide smoke detectors in the required locations.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to provide exhaust for odor-producing areas.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to ensure the building electrical system met the references codes and standards.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to provide the minimum levels of illumination required in the facility.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to keep documentation about the fire alarm system onsite at the facility.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to keep documentation about the fire sprinkler system onsite at the facility.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to obtain pressure tests of gas piping in the facility.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to provide a fire sprinkler system that met the referenced codes and standards.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to provide hot water with a temperature between 100 and 120 degrees F for lavatories and bathing units.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to correct a site or building condition that was a fire, health, or physical hazard.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to ensure a ramp, walk or step had a uniform walking surface, had a slope no greater than 1:12 and that new ramps were at least 36 inches wide.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to maintain outdoor areas in good condition and to keep outdoor areas free of fire or health hazards.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to inspect, test, and maintain fire sprinkler system components.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to maintain electrical, heating, and cooling systems so they worked safely.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to ensure equipment could be accessed to the facility could inspect, test, and service the equipment.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to check gas heating systems prior to the heating season and to maintain records of the those checks.

Life Safety CodeCited Aug 16, 2024Corrected —

The facility failed to ensure the building structure was sheathed to provide a 20-minute fire resistance rating or was constructed to meet the construction requirements for a nursing home.

Life Safety CodeCited Aug 16, 2024Corrected —