A list of the most recent deficiencies for Laurel Convalescent Hospital. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-01 | 2023-10-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-09 | 2022-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-06 | 2022-10-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-22 | 2022-09-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-22 | 2022-09-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-08-22 | 2022-09-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-09 | 2022-08-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-18 | 2021-12-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-18 | 2021-12-16 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-18 | 2021-12-16 | 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 | 2021-11-18 | 2021-12-16 | 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 | 2021-11-18 | 2021-12-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-12-16 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-11-18 | 2021-12-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-16 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-23 | 2021-12-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-11-23 | 2021-12-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-11-23 | 2021-12-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-23 | 2021-12-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-23 | 2021-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-23 | 2021-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-23 | 2021-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-07 | 2021-05-09 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-15 | 2019-06-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-15 | 2019-06-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-15 | 2019-06-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-15 | 2019-06-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-15 | 2019-06-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-15 | 2019-06-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-15 | 2019-06-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-15 | 2019-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-15 | 2019-06-19 | 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 | 2019-03-22 | 2019-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-05-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-22 | 2019-05-01 | 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 | 2019-03-22 | 2019-05-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-22 | 2019-05-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-03-22 | 2019-05-01 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-03-22 | 2019-05-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-03-22 | 2019-05-01 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-03-22 | 2019-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-22 | 2019-05-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-22 | 2019-05-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-03-22 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-05-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Develop a communication plan. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-18 | 2018-05-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-02 | 2018-03-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-02 | 2018-03-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-02 | 2018-03-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-02 | 2018-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-02 | 2018-03-28 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2018-03-02 | 2018-03-28 | N |
