Laconia Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Laconia Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF689Jan 4, 2024

  Based on interview, record review, and policy review it was determined that the facility failed to properly assess the resident after a fall for 1 of 1 residents reviewed for accidents (Resident Identifier is #1). Findings include: Review on 1/4/24 of Resident #1 Brief Interview for Mental Status (BIMS) dated 9/8/23 revealed a score of 15 which indicated that Resident #1 was cognitively intact. Further review of Resident #1's physician's orders revealed the following order for an anticoagulant for Resident #1: Apixaban 5 mg [milligrams], 1 tablet by mouth every 12 hours for anticoagulant, start date 10/13/22. Interview on 1/4/24 at approximately 9:15 a.m. […]

• No harm, potential for more than minimal, patternF680Jul 1, 2026

  Based on interview and record review, the facility failed to ensure that the activities program was directed by a qualified professional for a facility census of 106 residents.Findings include:Interview on 7/1/26 at approximately 10:15 a.m. with Staff D (Administrator) revealed Staff T (Activities Director) started in mid-May 2026 but had been on leave since the beginning of June 2026. Staff D revealed that Staff T did not have the qualifications required to direct the facility's activities program. Staff T's previous position at the facility was the front desk receptionist. The facility was registering Staff T for an activities training program this fall. Staff D stated that they were covering for Staff T. […]

• No harm, potential for more than minimal, patternF756Jul 1, 2026

  Based on interview and record review, the facility failed to ensure that irregularities identified by the pharmacist during the monthly Drug Regimen Review (DRR) were reviewed by the provider and that the provider documented their rationale for the action taken for the pharmacy recommendation for 4 of 5 residents reviewed for unnecessary medications in a final sample of 23 residents (Resident Identifiers are #1, #6, #8 and #30). Findings include: Resident #8 Review on 7/1/26 of Resident #8's DRRs revealed a note written by pharmacy, dated 11/21/25, that stated, .see report for comments/recommendations. Review on 7/1/26 of Resident #8s medical record revealed no DRR recommendation for 11/21/25. Interview on 7/01/26 at approximately 1:15 p.m. […]

• No harm, potential for more than minimal, patternF761Jul 1, 2026

  Based on observation, interview, and record review, it was determined that the facility failed to ensure medications were labeled according to professional standards on 5 of 5 medication carts observed. Findings include: TCU (Transitional Care Unit) Observation on 6/29/26 at approximately 8:20 a.m. of the TCU Back Medication Cart revealed the following expired medications: Resident #50's Fiasp insulin pen, labeled with an open date of 5/23/26 and open/expiration date of 6/19/26. Resident #9's Fluticasone Propionate/Salmeterol inhaler, labeled with an open date of 3/24/26. Interview on 6/29/26 at approximately 8:20 a.m. with Staff A (Registered Nurse (RN)) confirmed the above findings. Review on 6/29/26 of the manufacturer's instruction for Fiasp, Revision Date 6/23 revealed, . […]

• No harm, potential for more than minimal, patternF657May 30, 2025

  Resident #6 Review on 5/30/25 of Resident #6's care plan meeting notes revealed that Resident #6 had care plan meetings on 11/29/24 and 1/10/25. There was no evidence of a quarterly care plan meeting documented after 1/10/25. Resident #22 Interview on 5/28/25 with Resident #22 at approximately 11:30 a.m. revealed that Resident #22 reported that he/she had was not invited or participated in a care plan meeting for about 6 months. Review on 5/30/25 of Resident #22's care plan meeting notes revealed that Resident #22 had a care plan meeting on 11/27/24. Interview on 5/30/25 at approximately 10:50 a.m. […]