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Deficiency Records for Laurels Peak Care and Rehabilitation Center
View the most recent health deficiencies and inspection results for Laurels Peak Care and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Laurels Peak Care and Rehabilitation Center. Stay informed about quality of care issues.
| 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 | 2026-01-06 | 2025-12-16 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-11 | 2025-12-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-09-11 | 2025-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-11 | 2025-12-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-09-11 | 2025-12-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-09-11 | 2025-10-27 | 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 | 2025-09-11 | 2025-10-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-11 | 2025-10-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-11 | 2025-10-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-09-11 | 2025-10-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-11 | 2025-10-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-09-11 | 2025-10-27 | 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 | 2025-09-11 | 2025-10-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-09-11 | 2025-10-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-09-11 | 2025-10-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-11 | 2025-07-09 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-06-11 | 2025-07-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-16 | 2025-06-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-03-24 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-21 | 2024-10-04 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-08-21 | 2024-10-04 | 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 | 2024-08-21 | 2024-10-04 | N |
| Post nurse staffing information every day. | Health | 2024-08-21 | 2024-10-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-21 | 2024-10-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-08-21 | 2024-10-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-21 | 2024-10-04 | 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 | 2024-08-21 | 2024-10-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-21 | 2024-10-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-21 | 2024-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-21 | 2024-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-21 | 2024-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-21 | 2024-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-21 | 2024-10-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-21 | 2024-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-07 | 2024-07-05 | 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 | 2023-09-29 | 2023-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-29 | 2023-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-29 | 2023-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-29 | 2023-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-29 | 2023-11-15 | Y |
| 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 | 2023-09-29 | 2023-11-15 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-09-29 | 2023-11-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-29 | 2023-11-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-29 | 2023-11-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-09-29 | 2023-11-15 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-09-29 | 2023-11-15 | 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 | 2023-09-29 | 2023-11-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-09-29 | 2023-11-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-09-29 | 2023-11-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-29 | 2023-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-29 | 2023-11-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-29 | 2023-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-29 | 2023-11-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-29 | 2023-11-15 | Y |