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Deficiency Records for The Laurels of Chagrin Falls
View the most recent health deficiencies and inspection results for The Laurels of Chagrin Falls. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Laurels of Chagrin Falls. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have a Compliance and Ethics Program. | Health | 2025-12-09 | 2025-12-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-21 | 2025-07-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-02-06 | 2025-03-07 | 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 | 2025-02-06 | 2025-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-06 | 2025-03-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-02-06 | 2025-03-07 | 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 | 2025-02-06 | 2025-03-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-06 | 2025-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-06 | 2025-03-07 | 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 | 2024-08-29 | 2024-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-22 | 2023-07-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-22 | 2023-07-12 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-12 | 2023-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-12 | 2023-01-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-12 | 2023-01-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-12 | 2023-01-09 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-12 | 2023-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-12 | 2023-01-09 | 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 | 2022-12-12 | 2023-01-09 | 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 | 2022-12-12 | 2023-01-09 | 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 | 2022-12-12 | 2023-01-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-12 | 2023-01-09 | 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 | 2022-12-12 | 2023-01-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-12-12 | 2023-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-12 | 2023-01-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-12 | 2023-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-12 | 2023-01-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-12 | 2023-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-12 | 2023-01-09 | 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 | 2022-12-12 | 2023-01-09 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-04 | 2020-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-04 | 2020-03-03 | 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 | 2020-01-04 | 2020-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-04 | 2020-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-04 | 2020-03-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Develop a communication plan. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-04 | 2020-03-03 | 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 | 2020-01-04 | 2020-03-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-04 | 2020-03-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-04 | 2020-03-03 | N |