Deficiency Records for Laurels of Coldwater,the
Updated as of January 01, 2020
This is not the most recent data for Laurels of Coldwater,the. For the most recent information, click here.
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? |
---|---|---|---|---|
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 | 2019-05-28 | 2019-09-19 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-28 | 2019-09-19 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-28 | 2019-09-19 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-12 | 2019-08-21 | 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 | 2019-05-28 | 2019-08-12 | Y |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-05-28 | 2019-08-12 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-28 | 2019-08-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-28 | 2019-08-12 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-28 | 2019-08-12 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-05-28 | 2019-08-12 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-05-28 | 2019-08-12 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-28 | 2019-08-12 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-28 | 2019-08-12 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-28 | 2019-08-12 | Y |
Respond appropriately to all alleged violations. | Health | 2019-05-28 | 2019-08-12 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-28 | 2019-08-12 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-28 | 2019-08-12 | Y |
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 | 2019-05-20 | 2019-07-07 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-20 | 2019-07-07 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-05-28 | 2019-07-07 | Y |
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-05-28 | 2019-07-07 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-28 | 2019-07-07 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-28 | 2019-07-07 | 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 | 2019-05-28 | 2019-07-07 | N |
Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2019-05-28 | 2019-07-07 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-28 | 2019-07-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-28 | 2019-07-07 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-10-18 | 2019-01-02 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-18 | 2018-11-13 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-22 | 2018-09-17 | Y |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2018-06-12 | 2018-09-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-12 | 2018-09-17 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-01 | 2018-08-15 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2018-06-11 | 2018-07-17 | 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 | 2018-06-11 | 2018-07-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-11 | 2018-07-17 | 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 | 2018-06-12 | 2018-07-17 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-06-12 | 2018-07-17 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-06-12 | 2018-07-17 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-06-12 | 2018-07-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-12 | 2018-07-17 | 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 | 2018-06-12 | 2018-07-17 | N |
Provide activities to meet all resident's needs. | Health | 2018-06-12 | 2018-07-17 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-12 | 2018-07-17 | 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 | 2018-06-12 | 2018-07-17 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-06-12 | 2018-07-17 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-12 | 2018-07-17 | 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 | 2018-06-12 | 2018-07-17 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-12 | 2018-07-17 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-12 | 2018-07-17 | N |
Provide and implement an infection prevention and control program. | Health | 2018-06-12 | 2018-07-17 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-06-12 | 2018-07-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-01 | 2018-07-10 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-01 | 2018-07-10 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-01 | 2018-07-10 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-28 | 2017-09-05 | Y |
Store, cook, and serve food in a safe and clean way. | Health | 2017-02-23 | 2017-06-20 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-02-23 | 2017-06-06 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-02-23 | 2017-06-06 | N |
Ensure that residents are safe from serious medication errors. | Health | 2017-02-23 | 2017-06-06 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-23 | 2017-06-06 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-23 | 2017-06-06 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-09 | 2017-04-11 | Y |
Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-03-09 | 2017-04-11 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2017-02-23 | 2017-04-11 | N |
Try to resolve each resident's complaints quickly. | Health | 2017-02-23 | 2017-04-11 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-23 | 2017-04-11 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2017-02-23 | 2017-04-11 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-02-23 | 2017-04-11 | N |
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2017-02-23 | 2017-04-11 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-23 | 2017-04-11 | N |
Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-02-23 | 2017-04-11 | N |
Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2017-02-23 | 2017-04-11 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-23 | 2017-04-11 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2017-02-23 | 2017-04-11 | 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 | 2017-02-23 | 2017-04-11 | N |
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2017-02-23 | 2017-04-11 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-23 | 2017-04-11 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-02-23 | 2017-04-11 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-23 | 2017-04-11 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-23 | 2017-04-11 | N |
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-02-23 | 2017-04-11 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-23 | 2017-04-11 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-09 | 2017-04-11 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-23 | 2017-04-11 | Y |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-02-23 | 2017-04-11 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-02-23 | 2017-04-11 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-23 | 2017-04-11 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-02-23 | 2017-04-11 | Y |
Ensure that all full-time nurse aides employed for more than 4 months are fully trained and competent to provide nursing and nursing-related services, as defined by Federal requirements. | Health | 2017-02-23 | 2017-04-11 | Y |
1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-02-23 | 2017-04-11 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2017-02-15 | 2017-03-16 | N |