A list of the most recent deficiencies for Laurels of Coldwater,the. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-01 | 2023-11-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-01 | 2023-11-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-01 | 2023-11-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-01 | 2023-11-21 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-01 | 2023-11-21 | 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 | 2023-07-13 | 2023-08-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-13 | 2023-08-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-13 | 2023-08-08 | 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 | 2023-07-13 | 2023-08-08 | 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 | 2023-07-13 | 2023-08-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-13 | 2023-08-08 | 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 | 2023-07-13 | 2023-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-07-13 | 2023-08-08 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-12 | 2023-08-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-12 | 2023-08-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-12 | 2023-08-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-06-10 | 2022-08-09 | 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 | 2022-06-10 | 2022-07-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-10 | 2022-07-11 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-10 | 2022-07-11 | 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 | 2022-06-10 | 2022-07-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-06-10 | 2022-07-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-10 | 2022-07-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-10 | 2022-07-11 | 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 | 2022-06-10 | 2022-07-11 | 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 | 2022-06-10 | 2022-07-11 | N |
| Dispose of garbage and refuse properly. | Health | 2022-06-10 | 2022-07-11 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-06-10 | 2022-07-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-10 | 2022-07-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-10 | 2022-07-11 | Y |
| 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 | 2022-06-10 | 2022-07-11 | 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 | 2022-06-10 | 2022-07-11 | 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 | 2022-06-10 | 2022-07-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-10 | 2022-07-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-10 | 2022-07-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-10 | 2022-07-11 | 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 | 2022-06-10 | 2022-07-11 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-06-10 | 2022-07-11 | Y |
| Meet other general requirements. | Fire Safety | 2022-06-08 | 2022-07-11 | 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 | 2022-06-08 | 2022-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-08 | 2022-07-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-08 | 2022-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-28 | 2022-01-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-28 | 2022-01-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-12 | 2021-08-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-13 | 2021-06-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-13 | 2021-06-11 | 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 | 2021-04-13 | 2021-06-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-13 | 2021-05-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-13 | 2021-05-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-13 | 2021-05-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-13 | 2021-05-21 | 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 | 2021-04-13 | 2021-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-13 | 2021-05-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-13 | 2021-05-21 | 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 | 2021-04-13 | 2021-05-21 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-04-13 | 2021-05-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-13 | 2021-05-21 | 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 | 2021-04-13 | 2021-05-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-13 | 2021-05-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-13 | 2021-05-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-13 | 2021-05-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-13 | 2021-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-13 | 2021-05-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-13 | 2021-05-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-04-13 | 2021-05-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-30 | 2021-05-21 | 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 | 2021-03-30 | 2021-05-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-30 | 2021-05-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-30 | 2021-05-21 | 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 | 2021-03-18 | 2021-04-19 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-03-18 | 2021-04-19 | Y |
