Laurels of Blanchester, The

In the surveyor’s words

From the most serious findings on record at Laurels of Blanchester, The, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF657Apr 18, 2022

  Based on record review and staff interview, the facility failed to ensure residents were invited to participate in their care plan. This affected four (#14, #38, #37 and #41) residents out of five residents reviewed for participation in care planning. The facility census was 49. Findings include: 1. Review of the Resident #14's chart revealed Resident #14 admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #14's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident to be severely cognitively impaired and Resident #14 required extensive assistance with bed mobility, transfers, dressing, toileting, and personal hygiene. Resident #14 was also independent with eating. […]

• No harm, potential for more than minimal, patternF756Apr 18, 2022

  Based on medical record review, review of facility policy, and interview the facility failed to implement pharmacy recommendations in a timely manner and provide documentation for completed monthly medication reviews. The affected five of five Residents (#11, #18, #19, #10, and #21) reviewed for unnecessary medications. The facility census was 49. Findings include: 1. Medical record review for Resident #11 revealed admitted [DATE]. Diagnoses included muscle weakness, need for personal assistance, dysphagia, oral phase, [CONDITION(S)], [CONDITION(S)], anxiety, gastro-[CONDITION(S)] reflux disease (GERD), constipation, and cognitive communication deficit. […]

• No harm, potential for more than minimal, isolatedF580May 30, 2023

  Based on interview, record review, and policy review, the facility failed to notify resident representatives about significant changes in medication. This affected one (Resident #22) of three residents reviewed for notifications. The facility census was 39. Findings include: Review of the medical record for Resident #22 revealed an admitted [DATE]. Diagnoses included hypertensive heart disease without heart failure, dementia, and unspecified psychosis. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severely impaired cognition, had no behaviors, did not reject care, and did not wander. […]

• No harm, potential for more than minimal, isolatedF637Apr 18, 2022

  Based on record review ,staff interview, and facility policy review, the facility failed to ensure a significant change Minimum Data Set (MDS) assessment was completed within 14 days of a resident's admission to hospice services. This affected one (#14) resident out of one resident reviewed for hospice services. The facility census was 49. Findings include: Review of the Resident #14's chart revealed Resident #14 admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #14's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident to be severely cognitively impaired and Resident #14 required extensive assistance with bed mobility, transfers, dressing, toileting, and personal hygiene. […]

• No harm, potential for more than minimal, isolatedF640Apr 18, 2022

  Based on record review and staff interview, the facility failed to complete and transmit a resident's discharge Minimum Data Set (MDS). This affected one (Resident #02) out of 14 residents reviewed for assessments. The facility census was 49. Findings include: Review of the Resident #02's chart revealed Resident #02 admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #02 discharged from the facility on 12/19/21. Review of Resident #02's admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident to be severe cognitively impaired and Resident #02 required extensive assistance with bed mobility, transfers, dressing, toileting, and personal hygiene. Resident #02 also required supervision with eating on the MDS. […]