A list of the most recent deficiencies for Laurelwood Healthcare 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 treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-11 | 2022-09-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-11 | 2022-09-01 | Y |
| Provide appropriate foot care. | Health | 2022-07-11 | 2022-09-01 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-07-11 | 2022-09-01 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-07-11 | 2022-09-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-11 | 2022-09-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-26 | 2021-06-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-26 | 2021-06-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-26 | 2021-06-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-26 | 2021-06-04 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-26 | 2021-06-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-26 | 2021-06-04 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-11-26 | 2020-01-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-18 | 2019-11-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-18 | 2019-11-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-18 | 2019-11-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-09-18 | 2019-11-01 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-18 | 2019-11-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-09-18 | 2019-11-01 | N |
| 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 | 2019-09-18 | 2019-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-18 | 2019-11-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-18 | 2019-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-09-18 | 2019-11-01 | N |
| Post nurse staffing information every day. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-18 | 2019-11-01 | 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 | 2019-09-18 | 2019-11-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-18 | 2019-11-01 | 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 | 2019-09-18 | 2019-11-01 | 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 | 2019-09-18 | 2019-11-01 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-09-18 | 2019-11-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-09-18 | 2019-11-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-18 | 2019-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-18 | 2019-11-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-09-18 | 2019-11-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-27 | 2018-08-13 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-05-24 | 2018-07-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-24 | 2018-07-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-05-24 | 2018-07-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-24 | 2018-07-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-24 | 2018-07-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-24 | 2018-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-24 | 2018-07-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-24 | 2018-07-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-05-24 | 2018-07-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-05-24 | 2018-07-09 | 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 | 2018-05-24 | 2018-07-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-24 | 2018-07-09 | 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 | 2017-03-30 | 2017-05-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-30 | 2017-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-30 | 2017-05-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-30 | 2017-05-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-03-30 | 2017-05-08 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-03-30 | 2017-05-08 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-03-30 | 2017-04-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-30 | 2017-04-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-03-30 | 2017-04-21 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-03-30 | 2017-04-21 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-30 | 2017-04-21 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-30 | 2017-04-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-30 | 2017-04-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-30 | 2017-04-21 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-03-30 | 2017-04-21 | 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 | 2017-03-30 | 2017-04-21 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-03-30 | 2017-04-21 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-03-30 | 2017-04-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-30 | 2017-04-21 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-03-30 | 2017-04-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-30 | 2017-04-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-03-30 | 2017-04-21 | N |
