Laurel Bay Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Laurel Bay Health & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 3, 2025

  Complaint #: NJ187696Based on interviews, medical record review, and review of other pertinent facility documentation on 6/30/2025, it was determined that the facility failed to follow their protocol and policy to prevent the elopement of a severely cognitive impaired resident (Resident #1) who had a history of elopement from the facility when a Licensed Practical Nurse (LPN #1) heard the wander guard alarm sound at the front entrance of the facility and failed to respond to the alarm to ensure the safety of its residents. On 6/23/2025 at approximately 8:25PM, LPN #1 was coming down the stairs from the second-floor nursing unit when she heard the wander guard alarm at the front entrance sounding. […]

• No harm, potential for more than minimal, widespreadF812Jan 7, 2025

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On [DATE] from 9:25 AM to 10:07 AM, the surveyor, accompanied by the cook and later at 10:07 AM joined by the Dietary Director (DD), observed the following: 1.) In the refrigerator known as the Drink Refrigerator, there was a tray that contained 35 bowls of butterscotch pudding, along with a tray holding 7 cups of applesauce and 1 cup of cottage cheese. None of these items were labeled with preparation or use-by dates. […]

• No harm, potential for more than minimal, widespreadF919Jan 7, 2025

  Based on observation and interview on 12/30/2025 in the presence of the Administrator and the Director of Maintenance (DOM), it was determined that the facility failed to ensure that the resident call bell system was properly functioning by notification of an activation when pressing the call bell button. This deficient practice had the potential to affect all residents and was evidenced by the following: An observation at 12:22 PM revealed that the call bell system did not notify staff of a call bell system activation by visual and or audible notification for bed 1 in room [ROOM NUMBER] when the Administrator pressed the call bell button. […]

• No harm, potential for more than minimal, patternF656Jul 3, 2025

  Complaint #: NJ187696Based on interviews, review of medical records, and other pertinent facility documentation on 6/30/2025, it was determined that the facility failed to implement care plan interventions for 3 of 3 residents who were identified as an elopement risk. This deficient practice was evidenced by the following:1.According to the admission Record (AR), Resident #1 was admitted to the facility with diagnoses which included but were not limited to: Unspecified Convulsions, Unspecified Cerebral Infarction (Stroke), and Hypertension.According to the Quarterly Minimum Data Set (MDS), an assessment tool dated 6/5/2025, Resident #1 had a Brief Interview for Mental Status (BIMS) score of 7 out of 15, which indicated the resident's cognition was severely impaired. […]

• No harm, potential for more than minimal, patternF584Jan 7, 2025

  Based on observation, interview, and review of pertinent facility documents it was determined that the facility failed to keep all areas clean. The deficient practice was identified for 2 of 2 floors reviewed under the Environmental Task. The deficient practice was evidenced by the following: On 12/30/2024 at 10:31 AM, Surveyor # 1 observed room [ROOM NUMBER]. At that time, Surveyor # 1 observed water on the floor. No wet-floor sign was observed. On the same date at 10:37 AM, Surveyor # 1 observed Resident # 35 in their room. At that time, Surveyor # 1 observed spilled milk on the floor and no bag liner in the trash bin. On 12/31/2024 at 11:03 AM, Surveyor # 1 observed the first floor shower room across from room [ROOM NUMBER]. […]