Laurel Meadows Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Laurel Meadows Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Oct 28, 2022

  Based on interview, record review, facility document review, and facility policy review, the facility failed to immediately consult the physician for one (Resident #58) of three sampled residents reviewed for diabetic management, when the resident was admitted to the facility on high-dose insulin and other diabetic medications, but had no orders for blood glucose (blood sugar) monitoring. Additionally, the facility failed to consult with the physician when Resident #58's insulin was withheld due to hypoglycemic (low blood sugar) episodes. […]

• Immediate jeopardy, isolatedF684Oct 28, 2022

  Based on interviews, record review, facility document review, and facility policy review, the facility failed to ensure diabetes management was provided in accordance with accepted standards of nursing practice for one (Resident #58) of three sampled residents reviewed for diabetic management. Specifically, the facility failed to ensure when Resident #58 was admitted to the facility with orders for high-dose insulin and oral diabetes medications, that licensed nursing staff identified and addressed a lack of orders for blood glucose (blood sugar) testing and initiated monitoring for signs/symptoms of [CONDITION(S)] (low blood sugar) and [CONDITION(S)] (high blood sugar). […]

• No harm, potential for more than minimal, widespreadF803Jun 6, 2024

  Based on observation, interview and record review, the facility failed to serve the proper size entree to residents on a regular diet and mechanical soft diets, and failed to served pureed food items according to the spreadsheet menu to all residents on a pureed diet. The facility census was 73. Review of the undated facility policy, Portion Control, showed the following: -Individuals will receive the appropriate portions of food as defined by the state regulations and as planned on the menu. Control at the point of service is necessary to assure that the appropriate portion is served; -Use standardized recipes to avoid waste caused by overproduction. Recipes should be adjusted as needed and the yield and serving size specified on each recipe. […]

• No harm, potential for more than minimal, widespreadF812Oct 28, 2022

  Based on observations, interviews, document review, and facility policy review, the facility failed to ensure the kitchen was maintained in a sanitary condition to prevent potential food borne illness for residents who received meals from the kitchen. Specifically, the facility: - Failed to ensure leftover food items stored in the refrigerators and freezers were dated, labeled, and tightly sealed. - A scoop used in a bulk flour bin was properly stored. - Kitchen equipment, shelves, and floors were free from excessive dirt, grease, and/or debris. - Floor tiles and a handwashing sink were maintained in good repair. - Sanitizer concentration in the dish machine and three-compartment sink was regularly tested and documented. […]

• No harm, potential for more than minimal, patternF921Jun 17, 2024

  Based on observations, interviews and record review, the facility failed to maintain the temperature at a safe and comfortable level for the residents who resided on the third floor, when the blower units for the air conditioner were no longer functioning. The facility did not monitor the air temperatures while waiting for the units to be replaced and did not move residents to an area of the facility that maintained acceptable temperatures. This affected rooms 321 through 331 on the third floor. The facility census was 80. Review of the facility policy for Extreme Temperatures dated [DATE] showed the following: -In the event of a power loss, this facility's central air conditioning and heating systems will not function as they are not on the generator. […]