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Deficiency Records for The Laurels of Sandy Creek

A list of the most recent deficiencies for The Laurels of Sandy Creek. 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 The Laurels of Sandy Creek. 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 2024-05-09 2024-05-30 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-09 2024-05-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-05-09 2024-05-30 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-05-09 2024-05-30 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-29 2024-03-26 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-29 2024-03-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-29 2024-03-26 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 2023-09-14 2023-10-02 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-09-14 2023-10-02 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-09-14 2023-06-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-03 2023-05-26 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-03 2023-05-26 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-05-03 2023-05-26 N
Provide and implement an infection prevention and control program. Health 2023-05-03 2023-05-26 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-05-03 2023-05-26 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-03 2023-05-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-03 2023-05-26 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-05-02 2023-05-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-05-02 2023-05-04 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-09-15 2022-09-16 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-30 2022-09-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-07-13 2022-07-27 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-07-13 2022-07-27 Y
Respond appropriately to all alleged violations. Health 2022-07-13 2022-07-27 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-14 2022-07-12 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-14 2022-07-12 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-06-14 2022-07-12 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-06-14 2022-07-12 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-02-04 2022-04-15 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-02-04 2022-04-15 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-02-04 2022-03-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-04 2022-03-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-04 2022-03-07 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-02-04 2022-03-07 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 2022-02-04 2022-03-07 N
Provide routine and 24-hour emergency dental care for each resident. Health 2022-02-04 2022-03-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-04 2022-03-07 N
Provide and implement an infection prevention and control program. Health 2022-02-04 2022-03-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-02-04 2022-03-07 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-02-04 2022-03-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-04 2022-03-07 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-02-04 2022-03-07 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-02-04 2022-03-07 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-02-04 2022-03-04 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-02-03 2022-03-04 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 2022-02-03 2022-03-04 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-02-03 2022-03-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-02-03 2022-03-04 N
Provide a written emergency evacuation plan. Fire Safety 2022-02-03 2022-03-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-02-03 2022-03-04 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-02-03 2022-03-04 N
Have proper medical gas storage and administration areas. Fire Safety 2022-02-03 2022-03-04 N

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