Laurel Ridge Center for Health & Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF600Aug 11, 2022

  Based on review of the clinical record, facility documentation, facility policy, and interviews for 5 of 5 residents (Resident #6, Resident #40, Resident #55, Resident #161, and Resident #262) reviewed for resident to resident altercations, the facility failed to ensure a resident was free from physical mistreatment. The findings include: 1. Resident #6's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly Minimum Data Set assessment dated [DATE] identified Resident #6 was moderately cognitively impaired and required limited 1 person assistance with transfers and ambulation. The Resident Care Plan (RCP) dated 2/17/22 identified Resident #6 had impaired cognition related to dementia. […]

• Actual harm, isolatedF760Feb 16, 2022

  Based clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1), reviewed for a medication error, the facility failed to ensure the resident was free from a significant medication error. The facility failed to ensure medications were administer in a safe manner to prevent administration of insulin to the wrong resident, and the facility failed to ensure a narcotic was not administered after the physician discontinued the narcotic. The findings include: Resident #1 had diagnoses that included [CONDITION(S)] and Dementia. […]

• No harm, potential for more than minimal, widespreadF725Apr 8, 2025

  Based on staff interview and review of Payroll Based Journal (PBJ) the facility failed provide appropriate number of staff for Quarter 2 (January 1, 2024 through March 31, 2024 ). The findings include: PBJ submissions for Quarter 2, 2024 (January 1, 2024 to March 31, 2024) indicated excessively low weekend staffing. An interview on 4/8/25 at 11:41 AM with the Administrator identified for Quarter 2 in 2024 (January 1, 2024 to March 31, 2024), the previous owner would not allow the facility to use agency staff or to have licensed staff work as Nursing Assistants, which would assist with having adequate nursing staff. […]

• No harm, potential for more than minimal, widespreadF851Apr 8, 2025

  Based on staff interview and review of Payroll Based Journal (PBJ) submissions for Quarter 1, 2025 (October 1, 2024 through December 31, 2024) the facility failed to ensure the PBJ data was submitted accurately. Also, it was identified through the PBJ report that the facility failed provide appropriate number of staff for Quarter 2 (January 1, 2024 through March 31, 2024 ). The findings include: PBJ submissions for Quarter 1 of 2025 identified the facility was had 1-star rating, Registered Nurse (RN) Hours and Licensed Nursing Coverage for 24 hours/day for 10/1/24, 10/2/24, 10/3/24, 10/4/24, 10/5/24, 10/6/24, 10/7/24, 10/8/24, and 10/9/24 identified no RN hours and failed to have licensed nursing coverage 24 hours/day. […]

• No harm, potential for more than minimal, patternF609Apr 8, 2025

  Based on record review, facility documentation, and staff interviews for 1 of 1 residents (Resident #9) reviewed for an injury of unknown origin, for 2 of 4 residents involved in resident to resident altercations (Resident #59 and Resident #81), and for four of eight residents (Resident #27, #40, #62 and #99) reviewed for abuse, the facility failed to report the injury of unknown origin (Resident #9) and the resident to resident altercations to the Stage Agency. Additionally, for Resident #27, #40, #62 and #99, the facility failed to ensure staff reported an allegation of abuse immediately. The findings include: 1. […]