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Deficiency Records for Layhill Nursing and Rehabilitation Center
A list of the most recent deficiencies for Layhill Nursing and Rehabilitation 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 Layhill Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-18 | 2024-07-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-18 | 2024-07-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-18 | 2024-07-26 | 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 | 2024-06-18 | 2024-07-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-18 | 2024-07-26 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-18 | 2024-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-18 | 2024-07-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-18 | 2024-07-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-18 | 2024-07-26 | Y |
| 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 | 2024-06-18 | 2024-07-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-18 | 2024-07-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-06-18 | 2024-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-18 | 2024-07-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-18 | 2024-07-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-06-18 | 2024-07-26 | Y |
| 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 | 2024-06-18 | 2024-07-26 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-18 | 2024-07-26 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-06-18 | 2024-07-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-18 | 2024-07-26 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-06-18 | 2024-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-18 | 2022-03-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-03-21 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-18 | 2022-03-21 | Y |
| Meet other general requirements. | Fire Safety | 2020-01-23 | 2020-03-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-23 | 2020-03-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-23 | 2020-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-23 | 2020-03-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-23 | 2020-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-23 | 2020-03-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-27 | 2019-11-10 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2019-09-27 | 2019-11-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-27 | 2019-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-27 | 2019-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-27 | 2019-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-27 | 2019-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-27 | 2019-11-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-16 | 2018-11-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-16 | 2018-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-16 | 2018-11-29 | 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 | 2018-10-16 | 2018-11-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-16 | 2018-11-29 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-10-16 | 2018-11-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-10-16 | 2018-11-29 | N |
| Post nurse staffing information every day. | Health | 2018-10-16 | 2018-11-29 | 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 | 2018-10-16 | 2018-11-29 | 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 | 2018-10-16 | 2018-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-16 | 2018-11-29 | N |
| Meet other general requirements. | Fire Safety | 2018-10-11 | 2018-11-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-10-11 | 2018-11-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-10-11 | 2018-11-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-11 | 2018-11-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2017-12-05 | 2018-01-15 | 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 | 2017-12-05 | 2018-01-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-12-05 | 2018-01-15 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-12-05 | 2018-01-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-05 | 2018-01-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-29 | 2017-11-09 | N |
| 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. | Health | 2017-09-29 | 2017-11-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-09-29 | 2017-11-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-29 | 2017-11-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-29 | 2017-11-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-29 | 2017-11-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-29 | 2017-11-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-29 | 2017-11-09 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-09-29 | 2017-11-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-09-29 | 2017-11-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-29 | 2017-11-09 | N |
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