Deficiency Records for Complete Care at Laurelton, LLC
Updated as of May 01, 2024
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Deficiency Records for Complete Care at Laurelton, LLC
A list of the most recent deficiencies for Complete Care at Laurelton, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Complete Care at Laurelton, LLC. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-02-09 | 2024-02-21 | 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 | 2024-02-09 | 2024-02-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-09 | 2024-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-09 | 2024-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-09 | 2024-02-21 | 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 | 2024-02-09 | 2024-02-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-09 | 2024-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-02-21 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-02-09 | 2024-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-09 | 2024-02-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-09 | 2024-02-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-09 | 2024-02-21 | 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 | 2024-02-09 | 2024-02-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-09 | 2024-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-09 | 2024-02-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-09 | 2024-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-19 | 2021-12-03 | 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 | 2021-10-19 | 2021-12-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-19 | 2021-12-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-19 | 2021-12-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-15 | 2021-07-02 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-18 | 2019-11-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-11-18 | 2019-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-18 | 2019-11-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-18 | 2019-11-28 | N |
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