A list of the most recent deficiencies for The Laurels of Walden Park. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-04 | 2024-01-15 | Y |
| 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 | 2023-11-15 | 2023-12-11 | Y |
| 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 | 2023-10-18 | 2023-12-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-09-11 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-11-01 | 2023-06-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-27 | 2023-05-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-04-27 | 2023-05-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-27 | 2023-05-18 | 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 | 2023-04-27 | 2023-05-18 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-27 | 2023-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-27 | 2023-05-18 | 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 | 2023-04-27 | 2023-05-18 | 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 | 2023-04-27 | 2023-05-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-27 | 2023-05-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-27 | 2023-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-27 | 2023-05-18 | 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 | 2023-04-27 | 2023-05-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-04-27 | 2023-05-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-27 | 2023-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-27 | 2023-05-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-27 | 2023-05-18 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-11-01 | 2023-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-01 | 2023-02-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-08 | 2022-12-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-11-08 | 2022-12-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-08 | 2022-12-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-08 | 2022-12-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-08 | 2022-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-08 | 2022-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-08 | 2022-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-08 | 2022-12-01 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-01 | 2022-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-01 | 2022-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-01 | 2022-12-01 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-11-01 | 2022-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-01 | 2022-12-01 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-09-27 | 2022-11-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-04 | 2022-08-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-04 | 2022-08-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-08-24 | Y |
| 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 | 2022-04-05 | 2022-05-06 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-03-10 | 2022-05-06 | Y |
| 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 | 2022-03-10 | 2022-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-05 | 2022-05-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-10 | 2022-05-05 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-10 | 2022-05-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-10 | 2022-05-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-07 | 2022-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-07 | 2022-01-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-07 | 2022-01-11 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-12-07 | 2022-01-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-07 | 2022-01-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-07 | 2022-01-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-16 | 2022-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-03 | 2022-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2022-01-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-23 | 2022-01-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-23 | 2022-01-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-06 | 2021-07-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-06 | 2021-07-30 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-07-06 | 2021-07-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-06 | 2021-07-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-05-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-05 | 2021-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-07 | 2021-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-07 | 2021-05-06 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-04-07 | 2021-05-06 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-04-07 | 2021-05-06 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2021-03-15 | 2021-05-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-15 | 2021-05-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-15 | 2021-05-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-15 | 2021-05-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-07 | 2020-08-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-07 | 2020-08-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-07 | 2020-08-28 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2020-03-07 | 2020-08-28 | 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 | 2020-03-07 | 2020-08-28 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-07 | 2020-08-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-07 | 2020-08-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-07 | 2020-08-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-03-07 | 2020-08-28 | N |
| Provide activities to meet all resident's needs. | Health | 2020-03-07 | 2020-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-07 | 2020-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-07 | 2020-08-28 | 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 | 2020-03-07 | 2020-08-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-07 | 2020-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-07 | 2020-08-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-07 | 2020-08-28 | 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 | 2020-03-07 | 2020-08-28 | 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 | 2020-03-07 | 2020-08-28 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-03-07 | 2020-08-28 | 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 | 2020-03-07 | 2020-08-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-07 | 2020-08-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-03-07 | 2020-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-07 | 2020-08-28 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2020-03-07 | 2020-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-07 | 2020-08-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-07 | 2020-08-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-03-07 | 2020-08-28 | 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 | 2020-03-03 | 2020-08-28 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-03-03 | 2020-08-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-03-03 | 2020-08-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-03-03 | 2020-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-03-03 | 2020-08-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-03 | 2020-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-03 | 2020-08-28 | N |
