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Deficiency Records for Laurel Creek Health Center

A list of the most recent deficiencies for Laurel Creek Health 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 Creek Health 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 appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-04-03 2024-05-03 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 2024-04-03 2024-05-03 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-10 2023-04-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-10 2023-04-07 N
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 2023-03-10 2023-04-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-10 2023-04-07 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 2023-03-10 2023-04-07 N
Ensure medication error rates are not 5 percent or greater. Health 2023-03-10 2023-04-07 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 2023-03-10 2023-04-07 N
Provide and implement an infection prevention and control program. Health 2023-03-10 2023-04-07 N
Have a Compliance and Ethics Program. Health 2023-03-10 2023-04-07 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-03-10 2023-04-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-10 2023-04-07 Y
Implement emergency and standby power systems. Fire Safety 2023-03-23 2023-04-07 N
Use approved construction type or materials. Fire Safety 2023-03-23 2023-04-07 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-03-23 2023-04-07 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-23 2023-04-07 N
Provide properly protected cooking facilities. Fire Safety 2023-03-23 2023-04-07 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2023-03-23 2023-04-07 N
Have an alternate power supply for its alarm system. Fire Safety 2023-03-23 2023-04-07 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-03-23 2023-04-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-23 2023-04-07 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-03-23 2023-04-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-03-23 2023-04-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-03-23 2023-04-07 N
Provide a written emergency evacuation plan. Fire Safety 2023-03-23 2023-04-07 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2023-03-23 2023-04-07 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-03-23 2023-04-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-23 2023-04-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-23 2023-04-07 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2023-03-23 2023-04-07 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-23 2023-04-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-15 2022-09-12 Y
Establish policies and procedures for sheltering. Fire Safety 2019-07-10 2019-07-30 N
List the names and contact information of those in the facility. Fire Safety 2019-07-10 2019-07-30 N
Provide emergency officials' contact information. Fire Safety 2019-07-10 2019-07-30 N
Provide family notifications of emergency plan. Fire Safety 2019-07-10 2019-07-30 N
Implement emergency and standby power systems. Fire Safety 2019-07-10 2019-07-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-07-10 2019-07-30 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-07-10 2019-07-30 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-07-10 2019-07-30 N
Provide properly protected cooking facilities. Fire Safety 2019-07-10 2019-07-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-07-10 2019-07-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-07-10 2019-07-30 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-07-10 2019-07-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-07-10 2019-07-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-07-10 2019-07-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-07-10 2019-07-30 N
Have proper medical gas storage and administration areas. Fire Safety 2019-07-10 2019-07-30 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 2019-04-11 2019-05-24 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-04-11 2019-05-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-11 2019-05-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-04-13 2018-06-21 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-04-13 2018-05-31 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2018-04-13 2018-05-31 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 2018-04-13 2018-05-31 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-04-13 2018-05-31 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2018-04-13 2018-05-31 N
Provide and implement an infection prevention and control program. Health 2018-04-13 2018-05-31 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2018-05-15 2018-05-30 N
Use approved construction type or materials. Fire Safety 2018-05-15 2018-05-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-05-15 2018-05-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-05-15 2018-05-30 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2018-05-15 2018-05-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-05-15 2018-05-30 N

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