Abernathy Laurels

In the surveyor’s words

From the most serious findings on record at Abernathy Laurels, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF695Jul 11, 2024

  Based on observations, record reviews and interviews the facility failed to post cautionary safety signs that indicated the use of oxygen for 5 of 6 residents reviewed for respiratory care (Resident #79, #93, #136, #137 and #161). The findings included: 1) Resident #136 was admitted to the facility on [DATE] with a diagnosis of shortness of breath. A review of a significant change Minimum Data Set (MDS) dated [DATE] revealed Resident #136 was cognitively intact with no behaviors and no rejections of care. Resident #136 was coded for oxygen therapy. Review of a physician's order dated 7/8/2024 revealed an order for Resident #136 was to have oxygen administered at 2 liters per minute via nasal canula continuously. An observation was conducted on 7/8/2024 at 12:02 pm. […]

• No harm, potential for more than minimal, patternF565May 5, 2022

  Based on resident council meeting minutes, resident, and staff interview the facility failed to resolve dietary grievances that were reported in the resident council meeting for 8 out of 10 months (June 2021, July 2021, August 2021, September 2021, October 2021, December 2021, January 2022, and February 2022). a. Review of the 06/03/21 Resident Council (RC) minutes revealed the following dietary concern: the council commented on vegetables such as green beans and potatoes sometimes being undercooked. The response to the concern of vegetables such as green beans and potatoes being undercooked read in part: will address with staff in kitchen. The response was signed by the Administrator. b. […]

• No harm, potential for more than minimal, patternF812May 5, 2022

  Based on observations, staff interviews, and record review, the facility failed to label, date, and seal stored food items in 2 of 2 kitchens (main kitchen and satellite kitchen located on the first floor at the front of the facility). The facility also failed to discard stored foods after the manufacturer's expiration date in 2 of 2 kitchens (main kitchen and satellite kitchen). These practices had the potential to affect all residents who receive oral food nutrition. The findings included: 1. […]

• No harm, potential for more than minimal, isolatedF689Sep 5, 2025

  Based on observation, record review, and Medical Director and staff interviews, the facility failed to provide care in a safe manner when a dependent rolled out of bed while care was being provided. She was sent to the hospital for evaluation and was identified with a subdural hematoma (a collection of blood between the brain's outer covering and the surface of the brain). She required no treatment at the hospital, was sent back to the facility the same day, did not experience pain as a result of the injury, and was not receiving a blood thinner. […]

• No harm, potential for more than minimal, isolatedF578Jul 11, 2024

  Based on record review, staff interview, and Nurse Practitioner (NP) interviews the facility failed to ensure a resident's (Resident #32) code status election was accurate throughout the medical record for 1 of 2 residents (Resident #32) reviewed for advanced directives. The findings included: Resident #32 was admitted to the facility on [DATE] with a diagnosis of heart disease. A review of a physician's order dated [DATE] revealed Resident #32 was a full code. A review of a Medical Orders for Scope of Treatment (MOST) form dated [DATE] indicated Resident #32 wanted cardiopulmonary resuscitation (CPR, chest compressions), limited scope of treatment which included to use medical treatment, intravenous (IV) fluids and cardiac monitoring as indicated, do not use intubation (breathing tube)… […]