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Deficiency Records for Laurels of Defiance The
View the most recent health deficiencies and inspection results for Laurels of Defiance The. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Laurels of Defiance The. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2025-06-12 | 2025-09-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-12 | 2025-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-12 | 2025-07-18 | Y |
| 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 | 2025-06-12 | 2025-07-18 | 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 | 2025-06-12 | 2025-07-18 | 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 | 2025-06-12 | 2025-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-12 | 2025-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-06-12 | 2025-07-18 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-11-08 | 2023-12-12 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-06 | 2023-05-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-04-06 | 2023-05-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-04-06 | 2023-05-05 | 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 | 2023-04-06 | 2023-05-05 | 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 | 2023-04-06 | 2023-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-06 | 2023-05-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-06 | 2023-05-05 | 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 | 2023-04-06 | 2023-05-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-06 | 2023-05-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-06 | 2023-05-05 | 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 | 2023-04-06 | 2023-05-05 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-04-06 | 2023-05-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-06 | 2023-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-06 | 2023-05-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-06 | 2023-05-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-06 | 2023-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-05 | 2020-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-01-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-05 | 2020-01-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-12-05 | 2020-01-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-05 | 2020-01-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-05 | 2020-01-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-05 | 2020-01-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-12-05 | 2020-01-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-05 | 2019-06-13 | N |