A list of the most recent deficiencies for Laurel View Village. 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 policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-08 | 2023-08-06 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-08 | 2023-08-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-08-06 | 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 | 2023-06-08 | 2023-08-06 | 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 necessary and PRN use is limited. | Health | 2023-06-08 | 2023-08-06 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-08 | 2023-08-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-08-06 | N |
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 | 2023-06-08 | 2023-08-06 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-08 | 2023-08-06 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-08-06 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2023-06-07 | 2023-08-06 | 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 | 2022-07-07 | 2022-08-31 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-07 | 2022-08-31 | 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 | 2022-07-07 | 2022-08-31 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-07 | 2022-08-31 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-07 | 2022-08-31 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-07 | 2022-08-31 | N |
Use approved construction type or materials. | Fire Safety | 2022-07-11 | 2022-08-31 | 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 | 2022-07-11 | 2022-08-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-11 | 2022-08-31 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-07-11 | 2022-08-31 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-27 | 2022-01-31 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-13 | 2021-07-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-13 | 2021-07-12 | 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 | 2021-05-13 | 2021-07-12 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-13 | 2021-07-12 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-05-13 | 2021-07-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-13 | 2021-07-12 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-05-13 | 2021-07-12 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-05-13 | 2021-07-11 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-05-13 | 2021-07-11 | N |
Meet other general requirements. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-06-08 | N |