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Deficiency Records for Laurelwood Healthcare Center
A list of the most recent deficiencies for Laurelwood Healthcare Center. 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 Laurelwood Healthcare Center. 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 residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-08 | 2024-11-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-08 | 2024-11-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-08 | 2024-10-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-08 | 2024-10-14 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-08-08 | 2024-10-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-08 | 2024-10-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-08 | 2024-10-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-08 | 2024-10-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-08 | 2024-10-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-08 | 2024-10-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-08 | 2024-10-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-08 | 2024-10-14 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-08-08 | 2024-10-14 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-08 | 2024-10-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-08 | 2024-10-14 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-08 | 2024-10-14 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-08-08 | 2024-10-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-08 | 2024-10-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-08-08 | 2024-10-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-08 | 2024-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-08 | 2024-10-14 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-08 | 2024-10-14 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-08 | 2024-10-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-08 | 2024-10-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-08 | 2024-10-14 | 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 | 2024-08-08 | 2024-10-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-08 | 2024-10-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-08-08 | 2024-10-14 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-08-08 | 2024-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-08 | 2024-10-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-08 | 2024-10-14 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-08 | 2024-10-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-08 | 2024-10-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-08 | 2024-10-14 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-08 | 2024-10-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Meet other general requirements. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| 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. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-07 | 2024-10-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-14 | 2024-04-10 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-14 | 2024-04-10 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-03-14 | 2024-04-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-11 | 2022-09-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-11 | 2022-09-01 | Y |
| Provide appropriate foot care. | Health | 2022-07-11 | 2022-09-01 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-07-11 | 2022-09-01 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-07-11 | 2022-09-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-11 | 2022-09-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-18 | 2019-11-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-18 | 2019-11-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-18 | 2019-11-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-09-18 | 2019-11-01 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-18 | 2019-11-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-09-18 | 2019-11-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-18 | 2019-11-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-18 | 2019-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-09-18 | 2019-11-01 | N |
| Post nurse staffing information every day. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-18 | 2019-11-01 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-09-18 | 2019-11-01 | 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 | 2019-09-18 | 2019-11-01 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-09-18 | 2019-11-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-09-18 | 2019-11-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-18 | 2019-11-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-27 | 2018-08-13 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-05-24 | 2018-07-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-24 | 2018-07-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-05-24 | 2018-07-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-24 | 2018-07-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-24 | 2018-07-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-24 | 2018-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-24 | 2018-07-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-24 | 2018-07-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-05-24 | 2018-07-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-05-24 | 2018-07-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-24 | 2018-07-09 | N |
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