A list of the most recent deficiencies for Laurelbrook Nursing Home. 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 that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-13 | 2024-01-23 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-13 | 2024-01-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-13 | 2024-01-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-24 | 2022-03-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-02-18 | 2022-03-17 | 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 | 2022-02-18 | 2022-03-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-18 | 2022-03-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-18 | 2022-03-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-18 | 2022-03-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-03-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-24 | 2022-03-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-24 | 2022-03-17 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-07-28 | 2021-08-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-21 | 2021-05-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-21 | 2021-05-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-05-21 | 2021-05-21 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-05-21 | 2021-05-21 | Y |
| Assess the resident when there is a significant change in condition | Health | 2019-08-20 | 2019-09-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-20 | 2019-09-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-20 | 2019-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-28 | 2019-09-23 | N |
