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Deficiency Records for Laurel Heights Community Care
A list of the most recent deficiencies for Laurel Heights Community Care. 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 Heights Community Care. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-24 | 2024-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-24 | 2024-05-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-04-24 | 2024-05-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-24 | 2024-05-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-04-24 | 2024-05-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-04-19 | 2024-05-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-04-19 | 2024-05-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-04-19 | 2024-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-05-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-04-19 | 2024-05-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-05-15 | Y |
| 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 | 2024-04-19 | 2024-05-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-19 | 2024-05-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-04-19 | 2024-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-19 | 2024-05-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-19 | 2024-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-19 | 2024-05-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-19 | 2024-04-30 | 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 | 2024-04-19 | 2024-04-30 | 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 | 2024-04-19 | 2024-04-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-19 | 2024-04-22 | N |
| Keep all essential equipment working safely. | Health | 2024-04-19 | 2024-04-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-09 | 2022-01-13 | 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 | 2021-12-09 | 2022-01-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-09 | 2022-01-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-14 | 2021-12-29 | 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 | 2021-12-14 | 2021-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-14 | 2021-12-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-14 | 2021-12-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-14 | 2021-12-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-21 | 2019-08-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
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