Laurel Ridge Rehab and Skilled Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Mar 24, 2022

  Based on observation, record review and interview, the facility failed to ensure one Resident (#211), who was assessed to be at a high risk for developing pressure ulcers and was admitted without a pressure ulcer, had interventions implemented necessary to prevent the development of a pressure ulcer on his/her left heel, out of a total sample of 22 residents. Findings include: Review of the facility's policy titled, Skin Management Program, with a review date of 12/26/2011, indicated it is the policy of the Center that a resident admitted to the Center without a pressure ulcer will not develop a pressure ulcer, unless the individual's clinical condition demonstrates that they are unavoidable, and further, that nursing personnel will identify residents at risk for the development of… […]

• No harm, potential for more than minimal, widespreadF812Mar 24, 2022

  Based on observation, policy review and interview the facility failed to 1) follow proper sanitation and food handling practices and 2) ensure food items in two out of three nourishment kitchens were labeled and dated and maintained safely to prevent the outbreak of foodborne illnesses. Findings include: Review of the facility's policy titled Infection Control, Dietary, not dated, indicated under the heading Prevention of foodborne illness, Hand Washing, Gloves and Antimicrobial Gel; Since the skin carries microorganisms, it is critical that staff involved in food preparation consistently utilize good hygienic practices and techniques. The appropriate use of utensils such as gloves, tongs, deli paper and spatulas is essential in preventing foodborne illness. […]

• No harm, potential for more than minimal, patternF677Jun 13, 2024

  Based on observations, record review, policy review and interviews, the facility failed to provide assistance with Activities of Daily Living (ADLs), for four Residents (#39, #163, #32, #100) out of a total sample of 27 residents. Specifically, 1a. For Resident #39, the facility failed to provide assistance with meals as per the plan of care; 1b. For Resident #163, the facility failed to provide assistance with meals as per the plan of care; 1c. For Resident #32, the facility failed to provide assistance with meals as per the plan of care; 2. […]

• No harm, potential for more than minimal, patternF698Jun 13, 2024

  Based on record review, interview and policy review, the facility failed to ensure services consistent with professional standards were provided for 3 Residents (#44, #263, #51) who required dialysis (a procedure to remove waste products and excess fluid from the body when the kidneys stop working properly), out of total sample of 27 residents. Specifically, the facility failed to follow physician's orders to ensure that blood pressure readings were not taken on the arm where the dialysis shunt (an access point from the dialysis machine to a blood artery) is located. Findings include: Review of the facility policy titled Dialysis Policy, revised and dated 9/8/23, indicated the following: - Purpose: To provide necessary monitoring and follow-up treatment for residents who require dialysis. […]

• No harm, potential for more than minimal, patternF761Jun 13, 2024

  Based on observation, policy review and interview, the facility failed to ensure staff stored all drugs and biologicals in accordance with accepted professional standards of practice. Specifically, 1. The facility failed to ensure nursing stored medications in accordance with State and Federal Laws. 2. The facility failed to properly secure medication carts on two of three units and ensure that medication carts were kept clean on one out of three medication carts reviewed. Findings Include: Review of facility policy titled Medication Storage in The Facility, dated January 2021, indicated the following: -Policy: Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. […]