A list of the most recent deficiencies for The Laurels of Middletown. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-29 | 2023-11-08 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-04-26 | 2021-06-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-26 | 2021-06-11 | N |
| Provide or obtain dental services for each resident. | Health | 2021-04-26 | 2021-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-26 | 2021-06-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-26 | 2021-06-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-26 | 2021-06-11 | Y |
| 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 | 2021-04-26 | 2021-06-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-04-26 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-26 | 2021-06-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-26 | 2021-06-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-26 | 2021-06-11 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-04-26 | 2021-06-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-26 | 2021-06-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-16 | 2019-02-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-01-16 | 2019-02-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-01-16 | 2019-02-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-01-16 | 2019-02-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-16 | 2019-02-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-16 | 2019-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-16 | 2019-02-26 | 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 | 2019-01-16 | 2019-02-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-16 | 2019-02-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-01-16 | 2019-02-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-16 | 2019-02-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-16 | 2019-02-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-16 | 2019-02-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-16 | 2019-02-26 | 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 | 2019-01-16 | 2019-02-26 | 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 | 2019-01-16 | 2019-02-26 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-01-16 | 2019-02-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-16 | 2019-02-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-16 | 2019-02-26 | N |
| Have policies on smoking. | Health | 2019-01-16 | 2019-02-26 | 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 | 2019-01-15 | 2019-02-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-01-15 | 2019-02-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-01-15 | 2019-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-15 | 2019-02-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-15 | 2019-02-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-15 | 2019-02-26 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-01-15 | 2019-02-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-15 | 2019-02-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-01 | 2018-01-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2017-12-01 | 2018-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-11-28 | 2018-01-05 | N |
