Laurelhurst Post Acute & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Laurelhurst Post Acute & Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF600Nov 6, 2023

  Based on interview and record review it was determined the facility failed to protect the resident's right to be free from abuse by staff for 1 of 3 residents (#40) reviewed for abuse. This resulted in skin tears, increased anxiety and post-traumatic stress disorder (PTSD) for Resident 40. Findings Include: Resident 40 was admitted to the facility in 2019 with diagnoses including depression. Resident 40's 9/27/22 cognitive assessment indicated normal cognitive function. An incident report dated 12/6/22 indicated Resident 40 was upset regarding the noise early in the morning and asked Staff 27 (Agency LPN) and Staff 29 (Agency CNA) to be quiet while looking through the curtain to her/his roommate's side. […]

• Actual harm, isolatedF689Nov 6, 2023

  Based on observation, interview and record review it was determined the facility failed to follow care plan interventions, assess for care plan effectiveness, identify and implement new fall interventions and provide adequate supervision needed to prevent falls for 1 of 1 sampled resident (#57) reviewed for falls. This failure resulted in the resident having eight falls in ten months, one with serious injury, which resulted in the resident sustaining a fractured hip requiring surgery. Findings include: Resident 57 was admitted to the facility in 2020 with diagnoses including anxiety, depressive disorder and schizo-affective disorder (a mental health disorder). Resident 57's 7/3/23 Quarterly MDS indicated the resident had no cognitive impairments. […]

• Actual harm, isolatedF725Nov 6, 2023

  1. Based on observation, interview and record review it was determined the facility failed to ensure sufficient staffing to meet resident care needs for 1 of 1 facility reviewed for sufficient and competent staffing. This failure resulted in Resident 57 having eight falls in ten months, one with serious injury which resulted in the resident sustaining a fractured hip requiring surgery. Findings include: The facility's 2/2017 Staffing Policy indicated the following: -The facility provided sufficient numbers of staff with the skills and competency necessary to provide care and services for all residents in accordance with resident care plans and the facility assessment. […]

• No harm, potential for more than minimal, widespreadF880Oct 21, 2022

  Based on observation, interview and record review it was determined the facility failed to follow disinfection practices to prevent COVID-19 or other infections for 2 of 4 halls and 1 of 1 laundry room. This placed residents at risk for infections. Findings include: The EPA (Environmental Protection Agency) approved list of COVID-19 disinfectants revealed Lonza Disinfectant Wipes Plus 2 was effective against COVID-19 with a wet contact time of four minutes and Ecolab Peroxide Multi Surface Cleaner and Disinfectant was effective against COVID-19 with a wet contact time of 30 seconds. On 10/20/22 at 9:58 AM Staff 21 (Housekeeper) was asked to demonstrated the use of Ecolab Peroxide Multi Surface Cleaner and Disinfectant on surfaces. […]

• No harm, potential for more than minimal, patternF584Jun 26, 2026

  Based on observation and interview it was determined the facility failed to maintain resident rooms and equipment for 2 of 2 rooms (Room #s 361 and 370) and 1 of 2 Units (ICF-Intermediate Care Facility) reviewed for environment and resident council. This placed residents at risk for injury. Findings include: 1. On 6/23/26 at 9:25 AM room [ROOM NUMBER] was observed to have three areas of missing laminate on the sink counter. Each missing laminate area was less than or equal to 0.5 inches in diameter and were rough when touched.On 6/26/26 at 7:59 AM 13 (CNA) stated when he entered room [ROOM NUMBER], the room door opened inward, and the door blocked the sink. […]