Laurel Manor Healthcare and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Feb 9, 2022

  Based on observation, interview, record review, and review of facility documents, it was determined that the facility failed to implement personal protective equipment (PPE) according to the New Jersey Department of Health (NJ DOH) and Centers for Disease Control and Prevention (CDC) guidelines to minimize the potential spread of infection to residents on 3 of 3 units (Upper Willow, Lower Willow, and Redwood Terrace), b) ensure that staff wore proper PPE when caring for newly admitted residents who were under observation for sign/symptoms of COVID-19, and c) minimize the potential spread of infection during wound treatment for 1 of 1 nurses observed during wound treatment observation on 1 of 3 units (Redwood Terrace). This deficient practice was evidenced by the following: 1. […]

• No harm, potential for more than minimal, patternF700Aug 28, 2025

  Based on observation, interview, and record review, the facility failed to assess the risk of entrapment, try alternatives, and/or obtain informed consent before initiating side rails for seven (Residents (R)1, R11, R83, and R87) of seven residents reviewed for side rails. These failures could result in serious injury or death to residents. Findings include: Review of the facility policy titled Side Rail, dated 12/24, provided by the facility revealed It is the policy of this facility to provide residents with side rails as an enabler for bed mobility. Procedure: 1. Upon admission, the nurse will assess the need for side rails using the Side Rail Assessment form in [Electronic Medical Record software]. 2. […]

• No harm, potential for more than minimal, patternF755Apr 17, 2024

  Complaint #: NJ171256 Based on observation, interview, record review and pertinent facility documents, it was determined that the facility failed to ensure the accountability of controlled substance inventories were completed in accordance with the facility's policy. This deficient practice was identified on 2 of 5 medication carts reviewed ( Lower [NAME] medication cart #3 and Redwood medication cart #2) during the medication storage and labeling task. The evidence was as followed: On 04/04/2024 at 10:51 AM, during an interview with the surveyor, Licensed Practical Nurse (LPN #1) stated that when the pharmacy brought in the controlled substances (drug or other substance that is tightly controlled by the government because it may be abused or cause addiction), both the incoming and… […]

• No harm, potential for more than minimal, isolatedF635Apr 10, 2026

  Complaint 2639643Based on medical record review and staff interviews, the facility failed to ensure that a physician order for oxygen was obtained upon a resident's admission. Specifically, the facility implemented and maintained oxygen therapy as part of a resident's Care Plan (CP) without a corresponding physician order to support its use. This deficient practice was identified for 1 of 6 residents reviewed (Resident #5).According to the admission Record (AR), Resident #5 was admitted to the facility with diagnoses which included but were not limited to: unspecified fracture of upper end of right humerus, subsequent encounter for fracture with routine healing, unspecified fall, emphysema (chronic, progressive lung disease characterized by damage to the air sacs), and Chronic Obstructive… […]

• No harm, potential for more than minimal, isolatedF645Aug 28, 2025

  Based on record review and staff interview, the facility failed to ensure that an accurate Preadmission Screening and Resident Review (PASARR) Level I assessment was completed after admission for one resident (Resident (R) 110 out of 24 sampled residents.Findings include:Review of R110's ''admission Record,'' located in the ''Profile'' tab of the EMR, revealed R8 admitted to the facility on [DATE] with diagnoses including bipolar disorder, and anxiety disorder. Review of R110's NJ [New Jersey] Department of Human Services Pre-admission Screening and Resident Review (PASRR) Level I screen, dated 08/21/25 and located in the resident's EMR under the Miscellaneous tab, revealed no indication of mental illness identified. […]