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Deficiency Records for The Laurels of Hamilton
A list of the most recent deficiencies for The Laurels of Hamilton. 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 Hamilton. 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? |
|---|---|---|---|---|
| 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 | 2024-09-20 | 2024-10-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-20 | 2024-10-19 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-09-20 | 2024-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-18 | 2024-02-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-18 | 2024-02-12 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-10 | 2023-06-23 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-10 | 2023-06-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-10 | 2023-06-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-10 | 2023-06-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-10 | 2023-06-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-05-10 | 2023-06-23 | 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 | 2023-05-10 | 2023-06-23 | N |
| 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 | 2023-05-10 | 2023-06-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-10 | 2023-06-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-10 | 2023-06-23 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-10 | 2023-06-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-24 | 2023-06-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-05-11 | 2023-06-23 | 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 | 2023-05-11 | 2023-06-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-11 | 2023-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-11 | 2023-06-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-11 | 2023-06-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-11 | 2023-06-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-11 | 2023-06-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-25 | 2022-12-28 | 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 | 2022-11-25 | 2022-12-28 | Y |
| Post nurse staffing information every day. | Health | 2022-11-25 | 2022-12-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-04 | 2022-10-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-04 | 2022-10-20 | Y |
| 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 | 2022-08-31 | 2022-10-20 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-31 | 2022-10-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-31 | 2022-10-20 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-08-31 | 2022-10-20 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-31 | 2022-10-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-31 | 2022-10-20 | Y |
| 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 | 2022-08-31 | 2022-10-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-31 | 2022-10-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-31 | 2022-10-20 | Y |
| 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 | 2022-08-31 | 2022-10-20 | 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 | 2019-11-26 | 2019-12-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-26 | 2019-12-17 | 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 | 2019-11-26 | 2019-12-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-26 | 2019-12-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-26 | 2019-12-17 | 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 | 2019-11-26 | 2019-12-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-26 | 2019-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-26 | 2019-12-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-26 | 2019-12-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-26 | 2019-12-17 | 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 | 2019-11-26 | 2019-12-17 | 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 | 2019-11-26 | 2019-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-26 | 2019-12-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-26 | 2019-12-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-26 | 2019-12-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-26 | 2019-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-26 | 2019-12-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-26 | 2019-12-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-20 | 2019-01-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-11-20 | 2019-01-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-11-20 | 2019-01-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-11-20 | 2019-01-09 | 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 | 2018-11-20 | 2019-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-20 | 2019-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2019-01-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-11-18 | 2019-01-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-18 | 2019-01-09 | 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 | 2018-11-18 | 2019-01-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-18 | 2019-01-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-18 | 2019-01-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-18 | 2019-01-09 | N |
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