Laurels of New London the

In the surveyor’s words

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

• Actual harm, isolatedF686Aug 23, 2021

  Based on record review, observation, review of the emergency department records, review of the weekly wound notes and skin assessments, review of the wound consultation notes, review of the National Pressure Ulcer Advisory Panel (NPUAP) wound stages, staff interviews and review of the facility policy, the facility failed to properly monitor a medical device resulting in a pressure ulcer. This resulted in actual harm when Resident #21 developed an unstageable pressure ulcer to the posterior of the left lower extremity. The facility also failed to ensure additional pressure relieving interventions were in place after Resident #34 developed an unstageable pressure ulcer. This resulted in actual harm when Resident #34's pressure injury further deteriorated. […]

• No harm, potential for more than minimal, widespreadF730Aug 23, 2021

  Based on review of employee records, staff interview and review of the facility policy, the facility failed to ensure annual performance evaluations had been completed for three (#133, #114 and #110) State tested Nursing Assistants (STNA's). This affected three of five personal files reviewed and had the potential to affect 43 of 43 residents who reside in the facility. Findings include: Review of the employee record for STNA #133, revealed a hire date of 08/18/20. Further review of the employee record revealed no performance evaluations had been completed in 2021. Review of the employee record for STNA #114, revealed a hire date of 01/12/10. […]

• No harm, potential for more than minimal, widespreadF812Aug 23, 2021

  Based on observations, staff interviews, review of the facility policy, the facility failed to ensure the food preparation area was maintained in a sanitary manner. This had the potential to affect 41 of 41 residents who receive meals from the kitchen. The facility identified two (#7 and #8) residents as not receiving meals from the kitchen. The facility census was 43. Findings include: Observation on 08/17/21 at 10:12 A.M. in the kitchen, revealed Dietary Manager #65 was pureeing roast beef. There was a window with an air conditioning unit blowing air directly into the food preparation area. Further observation of the air conditioning unit revealed a black substance was present above the vents on the air conditioner. […]

• No harm, potential for more than minimal, widespreadF880Aug 23, 2021

  Based on record review, observations, staff interview and review of the facility policy's, the facility failed to ensure the proper Protective Personal Equipment (PPE) was utilized when transporting residents who were in quarentine status to prevent the spread of COVID-19. This affected one (#193) of two residents reviewed for isolation precautions with a potential to affect 43 of 43 residents who reside in the facility. Findings include: Review of the record for Resident #193 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Observation on 08/16/21 at 10:22 A.M., of Resident #193, revealed signage noting the use of PPE for quarantine precautions with instructions on donning and doffing. […]

• No harm, potential for more than minimal, patternF805Jan 31, 2024

  Based on observation, resident interview, staff interview, review of the facility diet conversion guide, review of facility recipes, and review of facility policy, the facility failed to ensure residents receiving mechanically altered diets were served foods according to the dietary order. This had the potential to affect 13 (#1, #2, #3, #6, #7, #9, #10, #15, #24, #28, #33, #42, and #43) of 13 residents who were ordered a mechanical soft diet. The facility census was 45. Findings include: 1. Observation on 01/30/24 at 5:50 P.M. of the dinner meal, revealed the residents receiving both regular and mechanical soft diets were served fruit cups with their meal. […]