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Deficiency Records for The Laurels of Charlottesville
A list of the most recent deficiencies for The Laurels of Charlottesville. 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 Charlottesville. 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 doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-05-19 | 2022-05-26 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-04-14 | 2022-05-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-14 | 2022-05-17 | 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 | 2022-04-14 | 2022-05-17 | 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 | 2022-04-14 | 2022-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-14 | 2022-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-14 | 2022-05-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-14 | 2022-05-17 | 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 | 2022-04-14 | 2022-05-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-14 | 2022-05-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-14 | 2022-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-14 | 2022-05-17 | N |
| Dispose of garbage and refuse properly. | Health | 2022-04-14 | 2022-05-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-14 | 2022-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-14 | 2022-05-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-14 | 2022-05-17 | Y |
| 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 | 2022-04-14 | 2022-05-17 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-19 | 2022-05-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-06 | 2020-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-06 | 2020-09-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-06 | 2020-09-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-20 | 2020-03-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-02-20 | 2020-03-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-20 | 2020-03-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-20 | 2020-03-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-20 | 2020-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-20 | 2020-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-20 | 2020-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-20 | 2020-03-31 | 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 | 2020-02-20 | 2020-03-31 | 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 | 2020-02-20 | 2020-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-20 | 2020-03-31 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-02-20 | 2020-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-31 | N |
| Use approved construction type or materials. | Fire Safety | 2018-12-13 | 2019-01-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-13 | 2019-01-30 | 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 | 2018-12-13 | 2019-01-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-13 | 2019-01-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-13 | 2019-01-30 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-12-06 | 2019-01-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-06 | 2019-01-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-06 | 2019-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-06 | 2019-01-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-06 | 2019-01-18 | 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 | 2018-12-06 | 2019-01-18 | 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 | 2018-12-06 | 2019-01-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-06 | 2019-01-18 | N |
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