Deficiency Records for Laurel Hill Nursing Center
Updated as of January 01, 2020
This is not the most recent data for Laurel Hill Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Laurel Hill Nursing Center. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-24 | 2019-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-24 | 2019-11-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-24 | 2019-11-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-15 | 2018-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-15 | 2018-08-08 | 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 ne | Health | 2018-05-15 | 2018-08-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-05-15 | 2018-08-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-05-15 | 2018-08-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-09 | 2018-07-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-09 | 2018-07-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-15 | 2018-07-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-15 | 2018-07-04 | 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 | 2018-05-15 | 2018-07-04 | 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 | 2018-05-15 | 2018-07-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-05-15 | 2018-07-04 | 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 | 2018-05-15 | 2018-07-04 | 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 | 2018-05-15 | 2018-07-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-31 | 2018-01-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-10-31 | 2017-12-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-16 | 2017-07-14 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-03-27 | 2017-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-27 | 2017-04-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-24 | 2017-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-24 | 2017-04-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-24 | 2017-04-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-24 | 2017-04-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-24 | 2017-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-03-27 | 2017-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-27 | 2017-04-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-03-27 | 2017-04-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-27 | 2017-03-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-03-27 | 2017-03-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-27 | 2017-03-28 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-01-19 | 2016-03-09 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-19 | 2016-03-09 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-01-19 | 2016-03-09 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-01-19 | 2016-03-09 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-19 | 2016-03-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-19 | 2016-03-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-01-19 | 2016-03-09 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-01-19 | 2016-03-09 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-01-19 | 2016-03-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-19 | 2016-03-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-19 | 2016-03-09 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-01-15 | 2016-03-05 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-15 | 2016-03-05 | N |
