A list of the most recent deficiencies for Laurel Heights Community Care. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-09 | 2022-01-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-12-09 | 2022-01-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-09 | 2022-01-13 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-14 | 2021-12-29 | 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 | 2021-12-14 | 2021-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-14 | 2021-12-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-12-14 | 2021-12-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-14 | 2021-12-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-21 | 2019-08-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-08-06 | 2019-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-13 | 2018-10-10 | 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 | 2018-07-13 | 2018-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-13 | 2018-10-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-07-13 | 2018-10-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-09-20 | 2018-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-20 | 2018-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-20 | 2018-10-03 | N |
