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Deficiency Records for Laurels Peak Care and Rehabilitation Center

A list of the most recent deficiencies for Laurels Peak Care 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 Laurels Peak Care 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?
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-08-21 2024-10-04 N
Post nurse staffing information every day. Health 2024-08-21 2024-10-04 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 2024-08-21 2024-10-04 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-08-21 2024-10-04 N
Provide and implement an infection prevention and control program. Health 2024-08-21 2024-10-04 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-08-21 2024-10-04 N
Have exits that are accessible at all times. Fire Safety 2024-08-21 2024-10-04 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-08-21 2024-10-04 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 2024-08-21 2024-10-04 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2024-08-21 2024-10-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-08-21 2024-10-04 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-08-21 2024-10-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-08-21 2024-10-04 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-08-21 2024-10-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-21 2024-10-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-07 2024-07-05 Y
Provide and implement an infection prevention and control program. Health 2023-09-29 2023-11-15 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-09-29 2023-11-15 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2023-09-29 2023-11-15 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-09-29 2023-11-15 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 2023-09-29 2023-11-15 N
Assess the resident when there is a significant change in condition Health 2023-09-29 2023-11-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-29 2023-11-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-29 2023-11-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-29 2023-11-15 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 2023-09-29 2023-11-15 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 2023-09-29 2023-11-15 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-09-29 2023-11-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-09-29 2023-11-15 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-09-29 2023-11-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-29 2023-11-15 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-09-28 2023-11-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-28 2023-11-15 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-09-29 2023-11-15 Y
Conduct testing and exercise requirements. Fire Safety 2023-09-29 2023-11-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-18 2023-06-16 Y
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2022-05-25 2022-06-24 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 2022-05-25 2022-06-24 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 2022-05-25 2022-06-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-05-25 2022-06-24 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-05-25 2022-06-24 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-05-25 2022-06-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-25 2022-06-24 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-25 2022-06-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-25 2022-06-24 N

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