Laurel Center

In the surveyor’s words

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

• Immediate jeopardy, patternF600Jan 29, 2026

  Based on facility policy review, clinical record review, review of facility documentation, staff interview, and resident interview, it was determined that the facility failed to ensure that residents were free from sexual abuse for one of six sampled residents (Resident 1) and on one of two nursing units (North Hall). This failure resulted in an Immediate Jeopardy situation. Findings include: Review of the facility policy entitled, Abuse Prohibition, last reviewed September 23, 2025, revealed that sexual abuse was defined as non-consensual sexual contact of any type with a patient and included, but was not limited to, sexual harassment, sexual coercion, or sexual assault. […]

• Actual harm, isolatedF699Jan 29, 2026

  Based on clinical record review, review of facility documentation, and resident interview, it was determined that the facility failed to assess triggers and develop and implement an individualized person-centered plan to render trauma informed care for a resident who was at risk for re-traumatization resulting in psychosocial harm for one resident. (Resident 1)Findings include: Clinical record review revealed that Resident 1 had diagnoses that included muscle weakness. Review of the Minimum Data Set assessment (MDS, a periodic evaluation of resident care needs) dated January 5, 2026, revealed that the resident was interviewable and did not have cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF812May 30, 2025

  Based on observation and staff interview, it was determined that the facility failed to store and prepare food under sanitary conditions in the kitchen. Findings include: Observation of the kitchen on May 30, 2025, at 8:40 a.m., revealed the following: A black substance was observed on the kitchen ceiling around and on the vents. The floors in the two walk-in refrigerators and freezer were slippery to walk on, had white, black and red colored substances in the corners and garbage was observed on the floors beneath the shelves. A box of moldy cucumbers and a box of raw mushrooms on the top shelf in refrigerator #1 had spoiled and were dripping fluid onto boxes beneath. […]

• No harm, potential for more than minimal, isolatedF550Sep 13, 2024

  Based on clinical record review and observation, it was determined that the facility failed to provide assistance with dining in a manner that promoted and maintained dignity for two of 25 sampled residents. (Residents 23, 46) Findings include: Clinical record review revealed that Resident 23 had diagnoses that included Parkinson's disease, dysphagia (difficulty in swallowing), and anxiety. Review of the Minimum Data Set (MDS) assessment, dated August 28, 2024, revealed that the resident had cognitive impairment and needed staff assistance with eating. On September 10, 2024, from 12:23 p.m. through 12:31 p.m., registered nurse (RN) 1 was observed standing while assisting Resident 23 with lunch. On September 11, 2024, from 12:12 p.m. […]

• No harm, potential for more than minimal, isolatedF677Oct 12, 2023

  Based on clinical record review, observation, and resident interview, it was determined that the facility failed to provide assistance with bathing and dressing for one of 24 sampled residents. (Resident 38) Findings include: Clinical record review revealed that Resident 38 had diagnoses that included abnormalities of gait and mobility (an inability to walk or move around without support), muscle weakness, and diabetes. According to the Minimum Data Set assessment, dated July 19, 2023, the resident was alert and oriented and was dependent on staff for bathing and lower body dressing. […]