Deficiency Records for Larsen Health Center
Updated as of February 01, 2023
This is not the most recent data for Larsen Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Larsen 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-21 | 2022-12-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-27 | 2022-11-26 | 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 | 2021-07-01 | 2021-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-09-27 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-01 | 2021-09-24 | 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 | 2021-07-01 | 2021-09-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-01 | 2021-09-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-29 | 2021-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-29 | 2021-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-06-08 | 2020-07-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-09-13 | 2018-10-13 | N |
| 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 | 2018-09-13 | 2018-10-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-09-13 | 2018-10-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-13 | 2018-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-13 | 2018-10-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-13 | 2018-10-13 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-13 | 2018-10-13 | N |
