A list of the most recent deficiencies for Lorien Nsg and Rehab Ctr Belair. 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 | 2021-08-09 | 2021-09-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-09 | 2021-09-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-20 | 2019-08-04 | N |
| Provide two separate exits in rooms of more than 1000 square feet. | Fire Safety | 2019-06-20 | 2019-08-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-20 | 2019-08-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-20 | 2019-08-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-20 | 2019-08-04 | 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 | 2019-05-15 | 2019-06-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-15 | 2019-06-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-15 | 2019-06-10 | 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 | 2019-05-15 | 2019-06-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-15 | 2019-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-15 | 2019-06-10 | 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 | 2019-05-15 | 2019-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-15 | 2019-06-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-15 | 2019-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-15 | 2019-06-10 | 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 | 2019-05-15 | 2019-06-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-15 | 2019-06-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-15 | 2019-06-10 | 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 | 2019-05-15 | 2019-06-10 | 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 | 2019-05-15 | 2019-06-10 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-05-15 | 2019-06-10 | N |
| Provide or obtain dental services for each resident. | Health | 2019-05-15 | 2019-06-10 | 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 | 2019-05-15 | 2019-06-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-15 | 2019-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-15 | 2019-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-21 | 2018-04-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-09 | 2018-03-26 | 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 | 2018-02-09 | 2018-03-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-09 | 2018-03-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-09 | 2018-03-26 | 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 | 2018-02-09 | 2018-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-09 | 2018-03-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-09 | 2018-03-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-09 | 2018-03-26 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-02-09 | 2018-03-26 | 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 | 2018-02-09 | 2018-03-26 | 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 | 2018-02-09 | 2018-03-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-02-09 | 2018-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-09 | 2018-03-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-30 | 2017-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-30 | 2017-03-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-23 | 2017-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-23 | 2017-02-06 | N |
