Inspection Results » Laurels of Coldwater,The

Health Inspection on June 12, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2018-07-17)
   • Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). (Corrected 2018-09-17)
   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-07-17)
   • Provide activities to meet all resident's needs. (Corrected 2018-07-17)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-07-17)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-07-17)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-17)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-17)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-07-17)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-17)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-07-17)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-07-17)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-07-17)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-17)
   • 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. (Corrected 2018-07-17)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-07-17)

4. Pattern: No actual harm with potential for minimal harm

   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-07-17)