Laurels of Mt Vernon the

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 25, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, Department of Health and Human Services, Centers for Medicare & Medicaid (CMS) Memos, Nursing Home Guidance from the Centers for Disease Control (CDC), review of facility policy and procedures, review of communication with local health department, interviews with local health department, observations, staff interviews and record reviews, the facility failed to implement effective and recommended infection control practices, including the implementation of appropriate use of personal protective equipment (PPE) and isolation and quarantine procedures to prevent the spread of the coronavirus (COVID-19) within the facility. […]

• Actual harm, isolatedF686Dec 30, 2021

  Based on observation, record review and interview the facility failed to promptly identify, complete comprehensive assessments at least weekly and failed to provide adequate care and treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Actual harm occurred when Resident #79 developed a right heel pressure ulcer on 08/31/21 which was not comprehensively assessed until 09/09/21 and declined to a stage three pressure ulcer on 09/23/21. The assessment by the wound nurse practitioner on 09/30/21 indicated there was a decline in the pressure ulcer, however the assessment was incomplete. On 10/02/21, Resident #79 was clammy and lethargic and his right heel pressure ulcer was noted to have a foul odor and he was transferred to the emergency room . […]

• No harm, potential for more than minimal, widespreadF926Feb 6, 2025

  Based on observations and interviews the facility failed to ensure the smoking area was maintained in a clean and safe manner. This had the potential to affect all 89 residents. Findings include: Observation on 02/03/25 at 12:03 P.M. of the smoking area located in the courtyard revealed a smoking area not maintained properly. There were numerous cigarette butts located on the ground and not in the designated ashtrays. Observation on 02/06/25 at 9:18 A.M. with the Administrator revealed that there were approximately 25 cigarette butts around the courtyard and a pile of cigarette butts that looked like someone dumped an ashtray on the ground. Interview on 02/06/25 at 9:18 A.M. with the Administrator verified the condition of the smoking area located in the courtyard. […]

• No harm, potential for more than minimal, widespreadF761Oct 19, 2023

  Based on observation, record review, and interview the facility failed to ensure medications were dated and disposed of according to industry standards. This had the potential to affect all 85 residents residing at the facility. The facility census was 88. Findings include: 1. Observation on [DATE] at 7:40 A.M. revealed during medication room review of the facility's second medication room refrigerator and opened multi-use vial of Aplisol Tuberculin solution without the date it was opened. The vial of Aplisol Tuberculin solution had been delivered from the pharmacy on [DATE] and had an expiration date of ,d+[DATE]. Interview on [DATE] at 7:55 A.M. […]

• No harm, potential for more than minimal, widespreadF607Aug 16, 2022

  Based on record review, facility policy and procedure review and interview the facility failed to implement its' abuse policy and procedure when background checks/pre-screening procedures were not implemented for newly hired staff prior to being permitted to provide care for residents. The facility identified 10 employees who were currently working in the facility, who had not had fingerprint background checks completed as required. This had the potential to affect all 80 residents residing in the facility. Findings include: On 08/10/22 at 6:32 A.M. interview with Registered Nurse (RN) #303 revealed she had worked as a nurse at the facility since 06/27/22. RN #303 revealed she had not submitted fingerprints for a criminal background check prior to beginning employment with the facility. […]