Most Recent Deficiencies for LARCHWOOD VILLAGE RETIREMENT COMMUNITY

Updated as of August 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Include a process for Emergency Preparedness collaboration. 2019-09-05
Address subsistence needs for staff and patients. 2019-09-05
Establish procedures for tracking staff and patients during an emergency. 2019-09-05
Establish policies and procedures for volunteers. 2019-09-05
Establish roles under a Waiver declared by secretary. 2019-09-05
Provide a means of sharing information on occupancy/needs. 2019-09-05
Provide family notifications of emergency plan. 2019-09-05
Meet other general requirements. 2019-09-05
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. 2019-09-05
Install an approved automatic sprinkler system. 2019-09-05
Have generator or other power source capable of supplying service within 10 seconds. 2019-09-05
Ensure proper usage of power strips and extension cords. 2019-09-05
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. 2018-08-15
Provide large enough exits. 2018-08-15
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2018-08-15
Have approved installation, maintenance and testing program for fire alarm systems. 2018-08-15
Properly install and monitor supervisory attachments on automatic sprinkler systems. 2018-08-15
Inspect, test, and maintain automatic sprinkler systems. 2018-08-15
Ensure proper usage of power strips and extension cords. 2018-08-15
Keep aisles, corridors, and exits free of obstruction in case of emergency. 2017-06-06
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. 2017-06-06
Have stairways and smokeproof enclosures used as exits that meet safety requirements. 2017-06-06
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. 2017-06-06
Have approved installation, maintenance and testing program for fire alarm systems. 2017-06-06
Follow proper procedures when the fire alarm was out of service for more than 4 hours. 2017-06-06
Inspect, test, and maintain automatic sprinkler systems. 2017-06-06
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. 2017-06-06
Install corridor and hallway doors that block smoke. 2017-06-06
Provide a written emergency evacuation plan. 2017-06-06
Have simulated fire drills held at unexpected times. 2017-06-06
Provide and implement an infection prevention and control program. 2019-06-13
Employ staff that are licensed, certified, or registered in accordance with state laws. 2019-05-31
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. 2019-09-05
Develop and implement policies and procedures to prevent abuse, neglect, and theft. 2019-09-05
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. 2019-09-05
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. 2019-09-05
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2019-09-05
Keep all essential equipment working safely. 2019-09-05
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 2019-09-05
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 2019-02-19
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 2019-02-19
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. 2019-02-19
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 2019-02-19
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 2019-02-06
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2019-02-06
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. 2018-11-27
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. 2018-11-27
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. 2018-06-09
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. 2018-06-09
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 2018-06-09
Ensure that residents are free from significant medication errors. 2018-06-09
Dispose of garbage and refuse properly. 2018-06-09
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. 2018-05-15
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2018-05-15
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 2018-05-15
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. 2018-08-16
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 2018-08-16
Ensure a qualified health professional conducts resident assessments. 2018-08-16
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 2018-08-16
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. 2018-08-16
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. 2018-08-16
Provide special eating equipment and utensils for residents who need them and appropriate assistance. 2018-08-16
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2018-08-16
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 2018-08-16
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 2018-01-20
Use a registered nurse at least 8 hours a day, 7 days a week. 2017-09-27
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 2017-09-27
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 2017-09-12
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 2017-07-10
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 2017-05-15
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 2017-05-15
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2017-05-15
Allow residents the right to participate in the planning or revision of care and treatment. 2017-05-15
Allow residents to easily view the results of the nursing home's most recent inspection. 2017-06-09
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2017-06-09
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 2017-06-09
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 2017-06-09
Ensure residents maintain acceptable nutritional status. 2017-06-09
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 2017-06-09
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 2017-06-09
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. 2017-06-09
Store, cook, and serve food in a safe and clean way. 2017-06-09
Have a program that investigates, controls and keeps infection from spreading. 2017-06-09
Keep all essential equipment working safely. 2017-06-09
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 2017-06-09