A list of the most recent deficiencies for Landerbrook Transitional 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? |
|---|---|---|---|---|
| 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 | 2023-01-19 | 2023-02-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-19 | 2023-02-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-19 | 2023-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-27 | 2021-09-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-27 | 2021-09-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-27 | 2021-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-27 | 2021-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-19 | 2021-09-22 | 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 | 2021-07-19 | 2021-09-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-19 | 2021-09-22 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-07-19 | 2021-09-22 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-19 | 2021-09-22 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-07-19 | 2021-09-22 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-07-19 | 2021-09-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-19 | 2021-09-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-19 | 2021-09-22 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-19 | 2021-09-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-30 | 2021-03-31 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-20 | 2020-04-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-20 | 2020-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-20 | 2020-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-20 | 2020-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-04-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-02-18 | 2020-04-03 | 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 | 2020-02-18 | 2020-04-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-18 | 2020-04-03 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-01-02 | 2019-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-02 | 2019-01-21 | 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 | 2019-01-02 | 2019-01-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-02 | 2019-01-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-01-02 | 2019-01-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-02 | 2019-01-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-27 | 2019-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-27 | 2019-01-21 | N |
