Deficiency Records for Laurel Convalescent Hospital
Updated as of November 01, 2021
This is not the most recent data for Laurel Convalescent Hospital. For the most recent information, click here.
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 | 2021-04-07 | 2021-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-14 | 2021-01-07 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-11-19 | 2020-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-05 | 2019-12-31 | 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 |
| Provide properly protected cooking facilities. | Fire Safety | 2017-02-07 | 2017-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-07 | 2017-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-07 | 2017-03-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-07 | 2017-03-02 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-01-27 | 2017-02-28 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-27 | 2017-02-28 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-27 | 2017-02-28 | N |
| Hire a qualified dietician. | Health | 2017-01-27 | 2017-02-28 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-01-27 | 2017-02-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-27 | 2017-02-28 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-27 | 2017-02-28 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-27 | 2017-02-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-27 | 2017-02-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-27 | 2017-02-28 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-01-27 | 2017-02-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-27 | 2017-02-28 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-01-27 | 2017-02-28 | N |
