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Deficiency Records for The Arbor at Laurel Circle
A list of the most recent deficiencies for The Arbor at Laurel Circle. 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 The Arbor at Laurel Circle. 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? |
---|---|---|---|---|
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-13 | 2024-10-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-13 | 2024-10-31 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-09-13 | 2024-10-31 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-13 | 2024-10-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-13 | 2024-10-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-13 | 2024-10-18 | N |
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 | 2024-09-13 | 2024-10-18 | N |
Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-18 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-13 | 2024-10-15 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-13 | 2024-10-15 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-13 | 2024-10-11 | 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 | 2024-09-13 | 2024-10-11 | 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 | 2024-09-13 | 2024-10-11 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-09-13 | 2024-10-11 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-09-13 | 2024-10-11 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-13 | 2024-10-11 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-09-13 | 2024-10-11 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-09-13 | 2024-10-11 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-13 | 2024-10-11 | N |
Provide activities to meet all resident's needs. | Health | 2024-09-13 | 2024-10-11 | 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 | 2024-09-13 | 2024-10-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-13 | 2024-10-07 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-13 | 2024-10-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-09-13 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-07-14 | 2023-08-31 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-08-31 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2023-07-14 | 2023-08-31 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-07-14 | 2023-08-31 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-14 | 2023-08-31 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-30 | N |
Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-15 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-14 | 2023-07-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-14 | 2023-07-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-14 | 2023-07-28 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-10 | 2023-05-24 | Y |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-04-10 | 2023-05-24 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-22 | 2023-02-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-01-22 | 2023-02-17 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-20 | 2021-06-18 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-20 | 2021-06-18 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-20 | 2021-06-18 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-20 | 2021-05-30 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-20 | 2021-05-30 | N |
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