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 |