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Deficiency Records for Larchwood Inns

A list of the most recent deficiencies for Larchwood Inns. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Larchwood Inns. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-04-30 2024-05-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-30 2024-05-30 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-04-30 2024-05-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-04-30 2024-05-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-30 2024-05-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-04-11 2024-05-05 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-04-11 2024-05-05 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-04-11 2024-05-05 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-04-11 2024-05-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-11 2024-05-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-11 2024-05-05 N
Ensure medication error rates are not 5 percent or greater. Health 2024-04-11 2024-05-05 N
Ensure that residents are free from significant medication errors. Health 2024-04-11 2024-05-05 N
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. Health 2024-04-11 2024-05-05 N
Provide or obtain dental services for each resident. Health 2024-04-11 2024-05-05 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-04-11 2024-05-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-11 2024-05-05 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-03 2024-02-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-03 2024-02-01 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-01-03 2023-02-20 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-01-03 2023-02-20 N
Construct fire resistant interior walls. Fire Safety 2023-01-03 2023-02-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-03 2023-02-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-03 2023-02-20 N
Provide and implement an infection prevention and control program. Health 2022-12-22 2023-01-24 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-22 2023-01-16 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-12-22 2023-01-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-22 2023-01-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-13 2022-09-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-13 2022-09-29 Y
Use approved construction type or materials. Fire Safety 2021-09-17 2021-10-11 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-09-17 2021-10-11 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-09-17 2021-10-11 N
Provide properly protected cooking facilities. Fire Safety 2021-09-17 2021-10-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-09-17 2021-10-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-09-17 2021-10-11 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-09-17 2021-10-11 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-09-17 2021-10-11 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-09-17 2021-10-11 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-09-17 2021-10-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-08-26 2021-09-20 N
Keep residents' personal and medical records private and confidential. Health 2021-08-26 2021-09-20 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-08-26 2021-09-20 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-08-26 2021-09-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-08-26 2021-09-20 N
Respond appropriately to all alleged violations. Health 2021-08-26 2021-09-20 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-08-26 2021-09-20 N
Ensure that residents are free from significant medication errors. Health 2021-08-26 2021-09-20 N
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. Health 2021-08-26 2021-09-20 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-08-26 2021-09-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-08-26 2021-09-20 N

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