Inspection Results » Laurelwood Care Center

Health Inspection on August 3, 2018 ^[1]

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

   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-09-26)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-26)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-09-26)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-09-26)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-09-26)
   • 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 (Corrected 2018-09-26)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-09-26)

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

   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-09-26)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-09-26)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-26)
   • Provide activities to meet all resident's needs. (Corrected 2018-09-26)
   • Provide and implement an infection prevention and control program. (Corrected 2018-09-26)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-09-26)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-26)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-26)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-09-26)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-09-26)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-09-26)
   • Give the resident's representative the ability to exercise the resident's rights. (Corrected 2018-09-26)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-26)
   • Respond appropriately to all alleged violations. (Corrected 2018-09-26)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-09-26)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-09-26)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-09-26)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-09-26)
   • Assess the resident when there is a significant change in condition (Corrected 2018-09-26)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-09-26)
   • 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. (Corrected 2018-09-26)