Laurel Square Healthcare and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 4, 2023

  Based on review of facility policies, review of facility documentation, review of clinical records, and interviews with staff, it was determined that the facility failed to adequately supervise one of three residents reviewed who exhibited elopement behaviors, resulting in Resident R1 eloping from the facility and found by medical personnel at a park the next day and taken to the local hospital. This failure placed Resident R1 at high risk for injury and resulted in an Immediate Jeopardy situation. […]

• No harm, potential for more than minimal, widespreadF812May 29, 2026

  Based on standards of professional practice, observation, and interview with staff it was determined that the facility failed to store food in accordance with standards for food service safety (main kitchen and first floor nursing unit). Findings include: Review of Leftovers and Food Safety from the U.S. Department of Agriculture, Food Safety and Inspection Service, last updated July 2020 revealed leftovers can be kept in the refrigerator for 3 to 4 days. A tour of the main kitchen conducted on May 26, 2026, at 9:50 a.m. with the Food Service Director, Employee E10, revealed the following: Observations in the walk-in refrigerator revealed pre-prepared leftover pea puree, hot dogs, and beef gravy. The prepared date for each item was May 24, and use-by date of May 30. […]

• No harm, potential for more than minimal, widespreadF812Sep 23, 2025

  Based on observation, review of facility policies, and staff and resident interviews, it was determined that the facility ensure that refrigerated food items were timely discarded to ensure food safety. Findings include:Review of the facility's policy titled Food Quality and Palatability, dated February 2023, revealed that food is to be prepared using methods that conserve nutritional value, flavor, and appearance. The policy states that food must be palatable, visually appealing, and served at a safe and appetizing temperature. […]

• No harm, potential for more than minimal, widespreadF803Jun 5, 2025

  Based on observation, review of facility documentation, facility policy, and interviews with residents and staff, it was determined that the facility failed to prepare and serve items as planned on the menu and failed to provide residents with their requested foods of preference for five of 18 residents interviewed (Residents R23, R28, R63, R70, and R289 ). Findings Include: Review of the facility posted Always Available menu posted in the first-floor dining/activities room lists beverages as Apple Juice, Cranberry Juice, Orange Juice, Hot Tea, Coffee, and Decaf Coffee. […]

• No harm, potential for more than minimal, widespreadF812Jun 5, 2025

  Based on observations, review of facility policy and interviews with staff, it was determined that the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety for three of three floors reviewed. (Ground, First, and Second Floors) Findings Include: Review of facility policy titled, Food Storage: Cold Foods revised April 2018 states, Policy Statement- All Time/Temperature Control For Safety (TCS) foods, frozen and refrigerated, will be appropriately stored in accordance with guidelines for the FDA Food Code. Further review of the policy revealed, Procedures . 5. […]