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Deficiency Records for Laurel Park Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Laurel Park Rehabilitation and 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 Laurel Park Rehabilitation and 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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-18 | 2024-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-18 | 2024-07-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-18 | 2024-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-18 | 2024-07-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-22 | 2024-06-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-22 | 2024-06-19 | 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 | 2024-05-22 | 2024-06-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-22 | 2024-06-19 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-05-22 | 2024-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-22 | 2024-06-19 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-28 | 2023-05-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-28 | 2023-05-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-28 | 2023-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-02 | 2023-03-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-02 | 2023-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-02 | 2023-03-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-02 | 2023-03-30 | N |
| 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 | 2023-03-02 | 2023-03-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-02 | 2023-03-30 | 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 | 2023-03-02 | 2023-03-30 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-03-02 | 2023-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-02 | 2023-03-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-02 | 2023-03-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-02 | 2023-03-30 | 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 | 2023-03-02 | 2023-03-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-02 | 2023-03-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-02 | 2023-03-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-02 | 2023-03-30 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-03-30 | 2022-05-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-30 | 2022-05-10 | 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 | 2022-03-30 | 2022-05-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-30 | 2022-05-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-30 | 2022-05-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-30 | 2022-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-30 | 2022-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-05-10 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-03-30 | 2022-05-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-30 | 2022-05-10 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-03-30 | 2022-05-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-30 | 2022-05-10 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-03-30 | 2022-04-27 | Y |
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