A list of the most recent deficiencies for Larchwood Care. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-21 | 2023-09-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-21 | 2023-09-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-14 | 2023-01-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-14 | 2023-01-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-11-14 | 2023-01-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-05 | 2019-11-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-05 | 2019-11-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-09-05 | 2019-11-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-09-05 | 2019-11-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-05 | 2019-11-12 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-09-05 | 2019-11-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-05 | 2019-11-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-05 | 2019-09-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-05 | 2019-09-30 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-09-05 | 2019-09-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-09-05 | 2019-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-05 | 2019-09-30 | N |
| Keep all essential equipment working safely. | Health | 2019-09-05 | 2019-09-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-05 | 2019-09-30 | N |
| Meet other general requirements. | Fire Safety | 2019-09-05 | 2019-09-30 | 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 | 2019-09-05 | 2019-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-05 | 2019-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-05 | 2019-09-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-05 | 2019-09-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-16 | 2018-09-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-16 | 2018-09-06 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2018-08-16 | 2018-09-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-16 | 2018-09-06 | 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 | 2018-08-16 | 2018-09-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-08-16 | 2018-09-06 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-08-16 | 2018-09-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-16 | 2018-09-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-16 | 2018-09-06 | 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 | 2018-08-15 | 2018-09-06 | N |
| Provide large enough exits. | Fire Safety | 2018-08-15 | 2018-09-06 | 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 | 2018-08-15 | 2018-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-15 | 2018-09-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-08-15 | 2018-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-15 | 2018-09-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-15 | 2018-09-06 | N |
