Deficiency Records for The Laurels of Willow Creek
Updated as of July 01, 2018
This is not the most recent data for The Laurels of Willow Creek. For the most recent information, click here.
A list of the most recent deficiencies for The Laurels of Willow Creek. 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? |
|---|---|---|---|---|
| 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 | 2018-03-23 | 2018-05-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-23 | 2018-05-04 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-03-23 | 2018-05-04 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-03-23 | 2018-05-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-23 | 2018-05-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-23 | 2018-05-04 | 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 | 2018-03-23 | 2018-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-23 | 2018-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-23 | 2018-05-04 | 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 | 2018-03-23 | 2018-05-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-23 | 2018-05-04 | 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 | 2018-03-23 | 2018-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-23 | 2018-05-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-23 | 2018-05-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-23 | 2018-05-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-23 | 2018-05-04 | Y |
| 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 | 2018-03-23 | 2018-05-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-06-15 | 2017-07-28 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-15 | 2017-07-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-15 | 2017-07-28 | Y |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-02-02 | 2017-03-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-02 | 2017-03-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-02 | 2017-03-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-02 | 2017-03-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-02 | 2017-03-17 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-14 | 2016-02-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-01-14 | 2016-02-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-14 | 2016-02-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-14 | 2016-02-15 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2016-01-14 | 2016-02-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-14 | 2016-02-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-01-14 | 2016-02-15 | Y |
