Deficiency Records for The Laurels of Chatham
Updated as of April 01, 2018
This is not the most recent data for The Laurels of Chatham. For the most recent information, click here.
A list of the most recent deficiencies for The Laurels of Chatham. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-01-16 | 2018-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-16 | 2018-02-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-14 | 2018-01-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2017-12-14 | 2018-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-14 | 2018-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-14 | 2018-01-11 | 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 | 2017-12-14 | 2018-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-14 | 2018-01-11 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2017-12-14 | 2018-01-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2017-12-14 | 2018-01-11 | 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 | 2017-12-14 | 2018-01-11 | 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 ne | Health | 2017-12-14 | 2018-01-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-14 | 2018-01-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-14 | 2018-01-11 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2017-12-14 | 2018-01-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-14 | 2018-01-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-01-17 | 2017-02-28 | 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 | 2017-01-17 | 2017-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-01-17 | 2017-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-17 | 2017-02-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-12-14 | 2016-12-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-12-14 | 2016-12-30 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-12-14 | 2016-12-30 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-14 | 2016-12-30 | Y |
| Approved construction type or materials. | Fire Safety | 2016-01-28 | 2016-03-04 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-01-28 | 2016-03-04 | N |
| Properly working alarms on sprinkler valves. | Fire Safety | 2016-01-28 | 2016-03-04 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2016-01-28 | 2016-03-04 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-01-28 | 2016-03-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-01-28 | 2016-03-04 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-01-07 | 2016-01-27 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-07 | 2016-01-27 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-01-07 | 2016-01-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-07 | 2016-01-27 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-01-07 | 2016-01-27 | 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 | 2016-01-07 | 2016-01-27 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-07 | 2016-01-27 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-01-07 | 2016-01-27 | N |
| Provide or obtain dental services for each resident. | Health | 2016-01-07 | 2016-01-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-07 | 2016-01-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-01-07 | 2016-01-27 | N |
