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Deficiency Records for Layhill Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Layhill Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Layhill Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-18 | 2026-04-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-10-09 | 2025-12-10 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-10-09 | 2025-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-09 | 2025-12-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-10-09 | 2025-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-09 | 2025-12-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-10-09 | 2025-12-10 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-10-09 | 2025-12-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-10-09 | 2025-12-10 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-10-09 | 2025-12-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-10-09 | 2025-12-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-10-09 | 2025-09-06 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-23 | 2025-02-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-23 | 2025-01-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-23 | 2025-01-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-23 | 2025-01-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-09-23 | 2025-01-15 | 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 | 2024-09-23 | 2025-01-15 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-09-23 | 2025-01-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-23 | 2025-01-15 | 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 | 2024-09-23 | 2025-01-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-23 | 2024-11-18 | N |
| Post nurse staffing information every day. | Health | 2024-09-23 | 2024-11-18 | 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 | 2024-09-23 | 2024-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-23 | 2024-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-23 | 2024-11-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-23 | 2024-11-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-23 | 2024-11-18 | 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 | 2024-09-23 | 2024-11-18 | 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 | 2024-09-23 | 2024-11-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-09-23 | 2024-11-18 | 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 | 2024-09-23 | 2024-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-23 | 2024-11-18 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-23 | 2024-11-18 | N |
| Meet other general requirements. | Fire Safety | 2024-09-23 | 2024-11-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-09-23 | 2024-11-18 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-09-23 | 2024-11-18 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-09-23 | 2024-11-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-09-23 | 2024-11-18 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-09-23 | 2024-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-23 | 2024-11-18 | N |
| Keep all essential equipment working safely. | Health | 2024-09-23 | 2024-11-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-09-23 | 2024-11-18 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-09-23 | 2024-11-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-23 | 2024-11-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-23 | 2024-11-18 | Y |
| 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 | 2024-09-23 | 2024-11-18 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-09-23 | 2024-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-23 | 2024-11-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-09-23 | 2024-11-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-09-23 | 2024-11-18 | 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 | 2024-09-23 | 2024-11-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-23 | 2024-11-18 | 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 | 2024-09-23 | 2024-11-18 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-09-23 | 2024-11-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-09-23 | 2024-11-18 | 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 | 2024-09-23 | 2024-11-18 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2024-09-23 | 2024-11-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-23 | 2024-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-23 | 2024-11-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-23 | 2024-11-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-09-23 | 2024-11-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-23 | 2024-11-18 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-09-23 | 2024-11-18 | N |
| Provide activities to meet all resident's needs. | Health | 2024-09-23 | 2024-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-23 | 2024-11-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-18 | 2024-07-26 | Y |
| 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 | 2024-06-18 | 2024-07-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-18 | 2024-07-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-06-18 | 2024-07-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-18 | 2024-07-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-18 | 2024-07-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-06-18 | 2024-07-26 | Y |
| 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 | 2024-06-18 | 2024-07-26 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-06-18 | 2024-07-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-18 | 2024-07-26 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-06-18 | 2024-07-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-18 | 2024-07-26 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-06-18 | 2024-07-26 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-18 | 2024-07-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-18 | 2024-07-26 | Y |
| 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 | 2024-06-18 | 2024-07-26 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-18 | 2024-07-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-18 | 2024-07-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-18 | 2024-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-18 | 2024-07-26 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-27 | 2020-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-27 | 2020-03-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-27 | 2020-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-27 | 2020-03-05 | 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 | 2019-09-27 | 2020-03-05 | N |
| Meet other general requirements. | Fire Safety | 2019-09-27 | 2020-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-27 | 2019-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-27 | 2019-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-27 | 2019-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-27 | 2019-11-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-27 | 2019-11-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-27 | 2019-11-10 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2019-09-27 | 2019-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-16 | 2018-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-16 | 2018-11-29 | 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 | 2018-10-16 | 2018-11-29 | 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 | 2018-10-16 | 2018-11-29 | N |
| Post nurse staffing information every day. | Health | 2018-10-16 | 2018-11-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-10-16 | 2018-11-29 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-16 | 2018-11-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-16 | 2018-11-29 | 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 | 2018-10-16 | 2018-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-16 | 2018-11-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-16 | 2018-11-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-16 | 2018-11-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-16 | 2018-11-29 | N |
| Meet other general requirements. | Fire Safety | 2018-10-16 | 2018-11-24 | 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 | 2018-10-16 | 2018-11-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-10-16 | 2018-11-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-16 | 2018-11-24 | N |