Laughlin Health Care Center

In the surveyor’s words

From the most serious findings on record at Laughlin Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF657Oct 5, 2023

  Based on facility policy review, medical record review, facility post fall investigation review, and interviews, the facility failed to revise the comprehensive care plan related to falls for 3 residents (Resident #14, #15, and #17) of 3 residents reviewed for falls which resulted in actual harm to Resident #14 when the resident fell and sustained a laceration to the left eye and required the area to have steri strips (wound closure tape) placed to close the wound, failed to revise the comprehensive care plan related to a wound for Resident #14 of 2 residents reviewed for wounds, failed to revise the comprehensive care plan related to a wander guard (a safety device used for high elopement risk) for 2 residents (Resident #15 and #17), failed to revise the comprehensive care plan for new… […]

• Actual harm, isolatedF689Oct 5, 2023

  Based on facility policy review, medical record review, facility post fall review, and interviews, the facility failed to prevent accidents related to falls for 1 resident (Resident #14) of 3 residents reviewed for falls when a new fall intervention was not implemented which resulted in actual harm to Resident #14 when the resident fell and sustained a laceration to the left eye and required steri strips (wound closure tape) to close the wound, and failed to complete thorough fall investigations for 1 resident (Resident #17) of 3 residents reviewed for falls. […]

• No harm, potential for more than minimal, widespreadF880Jul 8, 2026

  Based on facility policy review, medical record review, observations, and interviews, the facility staff failed to perform appropriate hand hygiene when serving residents' meal service for 4 residents (Residents #27, # 13, #39, and #25) on 1 of 2 units observed for meal tray distribution. The facility also failed to provide separate laundry entrance/exits to sort dirty laundry, in a manner to prevent cross contamination and the spread of infectious agents. The findings include: Review of the facility's undated policy titled, Hand Hygiene, revealed .perform proper hand hygiene .to prevent the spread of infections to .residents . […]

• No harm, potential for more than minimal, widespreadF812Oct 5, 2023

  Based on facility policy review, observations, and interviews, the facility failed to maintain sanitary kitchen equipment and failed to replace damaged kitchen equipment that had not been maintained in a good working condition, which had the potential to affect 27 of 27 residents. The findings include: Review of the facility's policy titled, Cleaning of Food and Nonfood Contact Surfaces, dated 1/2023, showed .The food-contact surfaces of all cooking equipment shall be kept free of encrusted grease deposits and other accumulated soil .Nonfood contact surfaces of utensils and equipment must be made of materials that are safe, corrosion resistant .smooth and easily cleanable, and maintained in good condition. […]

• No harm, potential for more than minimal, widespreadF880Oct 5, 2023

  Based on facility policy review, observation, and interview, the facility failed to ensure staff performed proper hand hygiene while delivering meal trays and during meal assistance in dining room. The findings include: Review of the facility policy titled, Hand Hygiene, revised 12/3/2021, showed .To outline indications for hand hygiene and correct procedure for performing hand hygiene in order to assist in preventing healthcare associated infections .When to perform hand hygiene .Hands must be washed with soap and water or alcohol hand gel used .after having direct contact with patients or their surroundings .After contact with inanimate objects .in the vicinity of the patient . […]