Fire Safety Inspection & Emergency Preparedness Summary
Lasata Care Center
W76 N677 Wauwatosa Rd
Cedarburg, WI 53012
(262) 377-5060
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| Deficiency Category | Inspection Date: 9/12/24 Complaint Reporting Period: 3/1/24 - 2/28/25 | Inspection Date: 6/20/23 Complaint Reporting Period: 3/1/23 - 2/29/24 | Inspection Date: 3/8/22 Complaint Reporting Period: 3/1/22 - 2/28/23 |
|---|---|---|---|
| Emergency Preparedness Deficiencies | |||
| Automatic Sprinkler Systems Deficiencies | |||
| Building Construction Deficiencies | |||
| Services Deficiencies | |||
| Corridor Walls and Doors Deficiencies | |||
| Egress Deficiencies | |||
| Electrical Deficiencies | |||
| Emergency Plans and Fire Drills Deficiencies | |||
| Fire Alarm Systems Deficiencies | |||
| Smoke Deficiencies | |||
| Interior Finish Deficiencies | |||
| Gas, Vacuum, and Electrical Systems Deficiencies | |||
| Hazardous Area Deficiencies | |||
| Illumination and Emergency Power Deficiencies | |||
| Laboratories Deficiencies | |||
| Medical Gases and Anesthetizing Areas Deficiencies | |||
| Smoking Regulations Deficiencies | |||
| Miscellaneous Deficiencies |
Detailed result for inspection on 9/12/24
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Wisconsin: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Conduct testing and exercise requirements. | 9/12/24 | 9/26/24 | 2 - Minimal harm or potential for actual harm | Many |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| No Services Deficiencies were found during this inspection period. |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have exits that are accessible at all times. | 9/12/24 | 10/31/24 | 2 - Minimal harm or potential for actual harm | Some |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Install a fire alarm system that can be heard throughout the facility. | 9/12/24 | 10/4/24 | 2 - Minimal harm or potential for actual harm | Some |
Have approved installation, maintenance and testing program for fire alarm systems. | 9/12/24 | 10/4/24 | 2 - Minimal harm or potential for actual harm | Many |
Inspect, test, and maintain automatic sprinkler systems. | 9/12/24 | 9/23/24 | 2 - Minimal harm or potential for actual harm | Few |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | 9/12/24 | 9/30/24 | 2 - Minimal harm or potential for actual harm | Many |
Properly select, install, inspect, or maintain portable fire extinguishes. | 9/12/24 | 10/1/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 9/12/24 | 9/13/24 | 2 - Minimal harm or potential for actual harm | Some |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 9/12/24 | 9/20/24 | 1 - Potential for minimal harm | Many |
Have proper medical gas storage and administration areas. | 9/12/24 | 10/31/24 | 2 - Minimal harm or potential for actual harm | Few |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have restrictions on the use of highly flammable decorations. | 9/12/24 | 9/13/24 | 2 - Minimal harm or potential for actual harm | Few |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 9/12/24 | 9/19/24 | 2 - Minimal harm or potential for actual harm | Few |
Detailed result for inspection on 6/20/23
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Wisconsin: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| No Services Deficiencies were found during this inspection period. |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Keep aisles, corridors, and exits free of obstruction in case of emergency. | 6/20/23 | 7/21/23 | 2 - Minimal harm or potential for actual harm | Some |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 6/20/23 | 7/21/23 | 2 - Minimal harm or potential for actual harm | Some |
Install emergency lighting that can last at least 1 1/2 hours. | 6/20/23 | 7/20/23 | 2 - Minimal harm or potential for actual harm | Many |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 6/20/23 | 7/21/23 | 2 - Minimal harm or potential for actual harm | Few |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | 6/20/23 | 6/23/23 | 2 - Minimal harm or potential for actual harm | Many |
Provide properly protected cooking facilities. | 6/20/23 | 7/21/23 | 2 - Minimal harm or potential for actual harm | Some |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | 6/20/23 | 6/23/23 | 2 - Minimal harm or potential for actual harm | Many |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 6/20/23 | 7/17/23 | 2 - Minimal harm or potential for actual harm | Many |
Meet requirements for the use of electrical equipment. | 6/20/23 | 7/21/23 | 2 - Minimal harm or potential for actual harm | Many |
Meet requirements for the installation and maintenance of electrical systems. | 6/20/23 | 7/20/23 | 2 - Minimal harm or potential for actual harm | Many |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| No Miscellaneous Deficiencies were found during this inspection period. |
Detailed result for inspection on 3/8/22
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Wisconsin: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 3/8/22 | 4/8/22 | 2 - Minimal harm or potential for actual harm | Some |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 3/8/22 | 4/8/22 | 2 - Minimal harm or potential for actual harm | Many |
Meet other general requirements. | 3/8/22 | 4/8/22 | 2 - Minimal harm or potential for actual harm | Some |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 3/8/22 | 4/8/22 | 2 - Minimal harm or potential for actual harm | Some |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have approved installation, maintenance and testing program for fire alarm systems. | 3/8/22 | 4/8/22 | 2 - Minimal harm or potential for actual harm | Some |
Install properly constructed windows in hallway walls or doors. | 3/8/22 | 4/8/22 | 2 - Minimal harm or potential for actual harm | Some |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 3/8/22 | 4/8/22 | 2 - Minimal harm or potential for actual harm | Many |
Have proper medical gas storage and administration areas. | 3/8/22 | 4/8/22 | 2 - Minimal harm or potential for actual harm | Many |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| No Miscellaneous Deficiencies were found during this inspection period. |
| This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |