Laurel Ridge Center

In the surveyor’s words

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

• Immediate jeopardy, patternF755Jul 9, 2026

  Based on review of facility documents, clinical records, and staff interview, it was determined that the facility failed to implement procedures to ensure availability of prescribed medications. This failure resulted in an Immediate Jeopardy situation for four of 25 residents (Residents R1, R2, R3, and R4).Findings include: Review of the Facility Assessment for 2026, Quarter 1, indicated the facility will provide intravenous medications and treatment for infections. Under the Acuity - Care Requirements section indicated, We also admit residents with IV medications. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. […]

• Immediate jeopardy, isolatedF689Aug 20, 2025

  Based on review of facility policy, clinical record review, incident reports, facility documents, employee statements, and staff interview it was determined that the facility failed to ensure that a resident received adequate supervision which resulted in an elopement (resident exits to an unsupervised and unauthorized location without staff's knowledge). for one resident (Resident R1). This failure created an immediate jeopardy situation for one of 14 ambulatory residents. This was identified for past non-compliance for Resident R1. Findings include: Review of facility policy Elopement of Patient defined elopement as any situation in which a patient leaves the premises or a safe area without the facility's knowledge and supervision, if necessary. […]

• No harm, potential for more than minimal, widespreadF812Aug 20, 2026

  Based on review of facility policies, observations, and staff interview, it determined the facility failed to maintain sanitary conditions in the Main Kitchen, which created the potential for cross contamination and food borne illness.Findings include: During an observation on 8/17/26, from approximately 9:20 a.m., through 9:35 a.m., the following was observed: [NAME] blankets on floor near dish machine identified to be placing dish racks after running through dish machine instead of on side racks.Deep freezer had a pan under fan pipe which were leaking, and one box of beef was under dripping from pipe attached by ice.During an interview on 8/17/26, at approximately 9:35 a.m., the Certified Dietary Manager Employee E42 confirmed that the facility failed to prevent the potential for cross… […]

• No harm, potential for more than minimal, widespreadF849Aug 11, 2023

  Based on review of clinical records and staff interviews, it was determined that facility staff failed to maintain ongoing communication with hospice services (a special model of care for patients who are in the late phase of an incurable illness and wish to receive end-of-life care) center for two of two residents receiving hospice (Resident R13 and R49). Findings include: A review of the facility policy Hospice last reviewed 4/26/23, indicated the hospice will provide a communication process, including the method for documenting the communication between the center and the hospice provider to ensure that the patient's needs are met 24 hours per day A review of the clinical record indicated that Resident R13 was admitted to the facility on [DATE], with diagnoses that included iron… […]

• No harm, potential for more than minimal, widespreadF801Apr 13, 2023

  Based on staff interviews it was determined that the facility failed to employ a full-time director of food service for one of one month (March 2023). Findings include: During a kitchen tour on 4/14/23, at 11:15 a.m., Dietary Cook Employee E1 stated the kitchen has not had a manager for about three weeks. During an interview on 4/14/23, at 4:20 p.m. the Nursing Home Administrator confirmed that the facility has not had a Dietary Manager since 3/13/23, as required, the Registered Dietitian is here one day per week and the District Manager one day per week. 28 Pa. Code 201. 18(e)(1)(6)Management. 28 Pa. Code 211. 6(c) Dietary services.