A list of the most recent deficiencies for The Laurels of Blanchester. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-30 | 2023-06-21 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-04-18 | 2022-06-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-18 | 2022-06-07 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2022-04-18 | 2022-06-07 | 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 | 2022-04-18 | 2022-06-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-18 | 2022-06-07 | 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 | 2022-04-18 | 2022-06-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-18 | 2022-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-18 | 2022-06-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-18 | 2022-06-07 | 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 | 2022-04-12 | 2022-06-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-07-11 | 2019-08-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-11 | 2019-08-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-11 | 2019-08-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-07-11 | 2019-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-11 | 2019-08-27 | 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 | 2019-07-11 | 2019-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-11 | 2019-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-08 | 2019-08-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-08 | 2019-08-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-08 | 2019-08-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-08 | 2019-08-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-07-08 | 2019-08-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-08 | 2019-08-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-31 | 2018-06-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-31 | 2018-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-31 | 2018-06-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-05-31 | 2018-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-31 | 2018-06-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-31 | 2018-06-30 | 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 | 2018-05-31 | 2018-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-31 | 2018-06-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-31 | 2018-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-31 | 2018-06-30 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-06-01 | 2018-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-01 | 2018-06-30 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-06-01 | 2018-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-01 | 2018-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-06-01 | 2018-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-01 | 2018-06-30 | N |
