A list of the most recent deficiencies for The Laurels of Gahanna. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-06 | 2023-11-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-06 | 2023-11-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-06 | 2023-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-06 | 2023-11-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-26 | 2023-07-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-04 | 2023-04-24 | Y |
| 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 | 2023-04-04 | 2023-04-24 | Y |
| 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 | 2023-04-04 | 2023-04-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-20 | 2023-02-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-20 | 2023-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-20 | 2023-02-15 | 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 | 2023-01-20 | 2023-02-15 | 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 | 2023-01-20 | 2023-02-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-20 | 2023-02-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-01-20 | 2023-02-15 | 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 | 2023-01-20 | 2023-02-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-20 | 2023-02-15 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-01-20 | 2023-02-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-02-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-20 | 2023-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-20 | 2023-02-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-20 | 2023-02-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-20 | 2023-02-15 | Y |
| 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. | Health | 2023-01-20 | 2023-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-20 | 2023-02-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-09 | 2023-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-09 | 2023-02-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-09 | 2023-02-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-09 | 2023-02-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-23 | 2022-09-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-23 | 2022-09-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-23 | 2022-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-08 | 2022-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-21 | 2022-07-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-14 | 2022-07-08 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-04-14 | 2022-07-08 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-11-15 | 2021-12-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-29 | 2021-12-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-23 | 2021-07-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-08 | 2021-07-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-08 | 2021-07-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-08 | 2021-07-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-08 | 2021-07-12 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-17 | 2021-07-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-09 | 2021-03-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-18 | 2021-03-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-18 | 2021-03-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-30 | 2020-02-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-30 | 2020-02-21 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-01-30 | 2020-02-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-30 | 2020-02-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-30 | 2020-02-21 | 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 | 2020-01-30 | 2020-02-21 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-30 | 2020-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-30 | 2020-02-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-01-30 | 2020-02-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-01-30 | 2020-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-30 | 2020-02-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-30 | 2020-02-21 | 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 | 2020-01-30 | 2020-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-06 | 2019-01-03 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-12-06 | 2019-01-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-06 | 2019-01-03 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-04 | 2019-01-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-04 | 2019-01-03 | N |
