Complete Care at Laurelton, LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Laurelton, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF627Apr 24, 2026

  Based on record review, interviews, and review of the facility's policy titled Discharge Planning Process, on 04/21/2026 through 04/23/2026, it was determined that the facility failed to ensure that a resident was discharged to a safe home, including the repair of a water pipe prior to discharge, for 1 of 1 residents (Resident (R) 1) reviewed for appropriate discharge from the facility. As a result, R1 was discharged to an unsafe home without running water or heat. Ten days after discharge, the police were called to the home to find the resident with limited electricity, no running water or working heating system, and unable to walk or get down the stairs, other than sliding down on his/her buttocks. R1 was taken by the Police Department (PD) to the Emergency Department (ED) for care. […]

• Immediate jeopardy, isolatedF808May 10, 2023

  C#: NJ163142 Based on interviews, medical record review, and review of other pertinent facility documentation on [DATE] and [DATE], it was determined that the facility failed to ensure that a resident was provided a Carbohydrate Controlled Diet (CCD) with Chopped Texture. On [DATE], at approximately 8:00 a.m., Resident #2 was given a breakfast tray by the Certified Nursing Assistant (CNA) prepared by the kitchen. The tray included a whole doughnut in a plastic wrapper. The doughnut was not on the dietary slip and was not prepared chopped by the kitchen staff. The CNA assigned to Resident #2 set up the tray, cut the doughnut into quarters and left the Resident's room to help another Resident. […]

• Immediate jeopardy, isolatedF761Apr 6, 2021

  COMPLAINT # NJ 5 Based on observations, interviews, review of Medical Records (MR), and review of other pertinent facility documentation on 4/5/2021 and 4/6/2021, it was determined that the facility staff failed to ensure that medications which could cause significant harm if ingested were stored/secured and inaccessible to cognitively impaired residents living on the dementia unit. On 4/5/2021 at 10:58 a.m., three medication bingo-cards containing a total of 56 pills, 14 [MEDICATION(S)] tablets, and 42 [MEDICATION(S)] capsules, were observed on the dementia unit nursing station desk unsecured and without staff within the line of sight of the medications. […]

• Actual harm, isolatedF610Feb 9, 2024

  Based on interview, record review and document review it was determined that the facility failed to ensure that a complete and thorough investigation was conducted for Resident # 257 who sustained a fracture of unknown origin of the left hip. Resident # 257 required an Open Reduction and Internal Fixation (ORIF) of the left hip on 09/25/23 . This deficient practice was identified for 1 of 1 Resident (Resident #257) reviewed for fracture of unknown origin and was evidenced by the following: Refer to 684G On 02/02/24 at 9:58 AM the surveyor, in the presence of the survey team, interviewed the Director of Nursing (DON) regarding reportable events and the Quality Assurance and Performance Improvement process. […]

• Actual harm, isolatedF684Feb 9, 2024

  Based on interview, record review and document review it was determined that the facility failed to recognize a change in condition and ensure that no delay in treatment occurred, when on 09/23/23, a resident presented with pain accompanied by an externally rotated bruised left lower extremity and the resident was not immediately assessed by a Registered Nurse, and waited over 24 hours to receive an X-ray and was then transferred to the emergency room . This deficient practice occurred for 1 of 1 resident (Resident #257) reviewed for fracture of unknown origin. Resident #257 was diagnosed with an impacted comminuted fracture of the base of the left femoral neck (hip fracture) which required surgery on 09/25/23 for Open Reduction and Internal Fixation (ORIF) of the Left Hip. […]