Apple Rehab Laurel Woods

In the surveyor’s words

From the most serious findings on record at Apple Rehab Laurel Woods, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 31, 2024

  Based on record review and interviews for one (1) of three (3) residents, (Resident #1), reviewed for elopement, the facility failed to provide the necessary supervision to a resident who had cognitive impairment, and was at risk for elopement and as a result, the resident eloped from the building unsupervised and wandered off facility property. This failure resulted in a finding of Immediate Jeopardy. The finding included: Resident #1 was admitted to the facility with diagnoses that included dementia, adjustment disorder and delusional disorders. […]

• Actual harm, isolatedF689Aug 19, 2026

  Based on clinical record review, facility documentation/policies, and interviews for one (1) sampled resident (Resident #1) reviewed for accidents, the facility failed to ensure a severely cognitively impaired resident who required total assistance with meals due to significant tremors and fluctuating lethargy was protected from injury associated with access to a meal tray containing hot soup prior to staff being present to provide the required feeding assistance. Specifically, the facility placed a meal tray containing hot soup within Resident #1's reach before staff were present to provide feeding assistance. As a result, Resident #1 attempted to self-feed, spilled the hot soup onto the right thigh, and sustained a blistering burn requiring medical and wound treatment. […]

• Actual harm, isolatedF600Mar 14, 2024

  Based on review of the clinical records, review of facility documentation, and interviews for 1 of 5 residents (Resident #31) reviewed for staff to resident abuse, the facility failed to ensure Resident #31 was free from abuse and for 3 of 5 residents (Resident #62, Resident #74 and Resident #76) reviewed for resident to resident abuse, the facility failed to ensure adequate supervision was provided for a resident with intrusive behaviors which resulted in physical abuse. The findings include: 1. Resident #31 was admitted to the facility with diagnoses which included dementia, traumatic brain injury, and dysphasia. […]

• Actual harm, isolatedF600May 10, 2023

  Based on clinical record review, observations, facility documentation review, facility policy review, and interviews for two of three residents (Resident #2 and #3) reviewed for abuse, the facility failed to ensure residents with a history of verbal altercations were free from mistreatment. The findings include: a. Resident #2's diagnoses included Diabetes Mellitus, spinal stenosis, asthma, abnormality of gait and mobility, and muscle weakness. The admission Minimum Data Set (MDS) assessment dated [DATE] identified Resident #2 was alert and oriented, required extensive assistance of one staff for transfers and ambulation, and used a walker and a wheelchair. The Resident Care Plan (RCP) dated 3/2/2023 identified Resident #2 was moved to a new room. […]

• No harm, potential for more than minimal, widespreadF755Mar 14, 2024

  Based on observations, review of facility documentation, facility policy, and interviews for 6 of 6 medication carts, the facility failed to ensure shift to shift controlled drug counts were consistently completed. The findings include: Observations on 3/11/24 between 2:50 PM - 3:26 PM of the medication carts with the Administrator identified the March 2024 narcotic count sheet (the narcotic count that the on-coming and off-going nurses complete to ensure the narcotic medications are counted) were missing signatures on multiple dates on the 7:00 AM - 3:00 PM shift, 3:00 PM - 11:00 PM shift, and 11:00 PM - 7:00 AM shift on the following units: The [NAME] Terrace unit on the A side was missing 8 signatures. The [NAME] Terrace unit on the B side was missing 10 signatures. […]