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Deficiency Records for Laverna Manor Health and Rehabilitation
View the most recent health deficiencies and inspection results for Laverna Manor Health and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Laverna Manor Health and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-03-16 | 2026-04-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-03-16 | 2026-04-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2026-03-16 | 2026-04-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-16 | 2026-04-01 | 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 | 2026-03-16 | 2026-04-01 | 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 | 2026-03-16 | 2026-04-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-03-16 | 2026-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-16 | 2026-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-16 | 2026-04-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-03-16 | 2026-04-01 | N |
| Use approved construction type or materials. | Fire Safety | 2026-03-16 | 2026-04-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-03-16 | 2026-04-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-03-16 | 2026-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-16 | 2026-04-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2026-03-16 | 2026-04-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-12 | 2025-12-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-12-12 | 2025-12-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-12 | 2025-12-13 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-06-13 | 2025-07-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-05 | 2025-04-17 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-10-10 | 2024-11-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-10 | 2024-11-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-10-10 | 2024-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-10 | 2024-11-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-10 | 2024-11-01 | Y |
| 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 | 2024-10-10 | 2024-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-25 | 2024-07-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-25 | 2024-05-31 | Y |
| 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 | 2024-04-30 | 2024-05-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-30 | 2024-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-30 | 2024-05-31 | Y |
| 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 | 2024-03-25 | 2024-05-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-25 | 2024-05-31 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-03-25 | 2024-04-13 | Y |
| 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 | 2023-07-05 | 2023-08-18 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-25 | 2022-10-26 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-25 | 2022-10-26 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-25 | 2022-10-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-25 | 2022-10-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-25 | 2022-10-07 | 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 | 2022-08-25 | 2022-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-10-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-25 | 2022-10-07 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-25 | 2022-10-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-25 | 2022-10-07 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2022-08-25 | 2022-10-07 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-08-25 | 2022-10-07 | 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 | 2022-08-25 | 2022-10-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-25 | 2022-10-07 | 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 | 2022-08-25 | 2022-10-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-25 | 2022-10-07 | 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 | 2022-08-25 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-10-07 | 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 | 2022-08-25 | 2022-10-07 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-08-25 | 2022-10-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-25 | 2022-10-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-25 | 2022-10-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-25 | 2022-10-07 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-25 | 2022-10-07 | 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 | 2022-08-25 | 2022-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-25 | 2022-10-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-25 | 2022-10-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-25 | 2022-10-07 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-08-25 | 2022-10-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-25 | 2022-10-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-25 | 2022-10-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-25 | 2022-10-07 | 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 | 2022-08-25 | 2022-10-07 | 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 | 2026-03-16 | Not Fixed | N |