CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Mountain Laurel Healthcare and Rehabilitation Ctr
View the most recent health deficiencies and inspection results for Mountain Laurel Healthcare and Rehabilitation Ctr. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Mountain Laurel Healthcare and Rehabilitation Ctr. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-30 | 2026-06-15 | 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 | 2026-04-30 | 2026-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-30 | 2026-06-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-19 | 2026-04-14 | 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 | 2025-12-16 | 2026-01-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-12-16 | 2026-01-07 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-14 | 2025-12-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-14 | 2025-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-14 | 2025-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-14 | 2025-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-14 | 2025-12-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-14 | 2025-09-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-14 | 2025-09-25 | 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 | 2025-08-14 | 2025-09-25 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-14 | 2025-09-25 | 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 | 2025-08-14 | 2025-09-25 | 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 | 2025-08-14 | 2025-09-25 | 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 | 2025-08-14 | 2025-09-25 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-08-14 | 2025-09-25 | 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 | 2025-08-14 | 2025-09-25 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2025-08-14 | 2025-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-14 | 2025-09-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-08-14 | 2025-09-25 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-08-14 | 2025-09-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-14 | 2025-09-25 | 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 | 2025-08-14 | 2025-09-25 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-14 | 2025-09-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-14 | 2025-09-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-14 | 2025-09-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-14 | 2025-09-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-08-14 | 2025-09-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-08-14 | 2025-09-25 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-09-26 | 2024-11-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-26 | 2024-11-04 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-26 | 2024-11-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-26 | 2024-11-04 | 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 | 2024-09-26 | 2024-11-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-09-26 | 2024-11-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-26 | 2024-11-04 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-09-26 | 2024-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-26 | 2024-11-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-09-26 | 2024-11-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-26 | 2024-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-26 | 2024-11-04 | 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 | 2024-09-26 | 2024-11-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-26 | 2024-11-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-26 | 2024-11-04 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-09-26 | 2024-10-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-09-26 | 2024-10-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-26 | 2024-10-24 | N |
| Meet other general requirements. | Fire Safety | 2024-09-26 | 2024-10-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-26 | 2024-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-26 | 2024-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-26 | 2024-10-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-26 | 2024-10-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-02 | 2024-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-02 | 2024-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-05 | 2024-02-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-05 | 2024-02-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-05 | 2024-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2024-02-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-05 | 2024-02-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-01 | 2023-12-29 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-10-05 | 2023-11-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-05 | 2023-11-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-05 | 2023-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-11-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-11-22 | 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 | 2023-10-05 | 2023-11-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-05 | 2023-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-05 | 2023-11-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-10-05 | 2023-11-22 | 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 | 2023-10-05 | 2023-11-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-10-05 | 2023-11-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-05 | 2023-11-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-11-22 | 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 | 2023-10-05 | 2023-11-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-05 | 2023-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-05 | 2023-11-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-05 | 2023-11-08 | 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 | 2023-10-05 | 2023-11-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-05 | 2023-11-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-25 | 2023-08-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-25 | 2023-08-22 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-07-25 | 2023-08-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-25 | 2023-08-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-26 | 2023-08-01 | Y |