Laurels of Steubenville the

In the surveyor’s words

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

• Actual harm, isolatedF697Jan 5, 2026

  Based on closed medical record review, review of hospice records, review of a facility soft file, interview, and policy review the facility failed to implement an effective pain management program, including the administration of scheduled and as needed opioid medication to effectively manage Resident #86's pain.Actual Harm occurred beginning on [DATE], when Resident #86, who was identified with chronic pain and a new onset of end of life care for pain management, did not receive scheduled or as needed Oxycodone (narcotic pain medication), resulting in uncontrolled pain affecting the resident's end of life care requiring increasing and changing the residents pain medication to re-gain control of the resident's pain. […]

• Actual harm, isolatedF697Nov 17, 2022

  Based on observations, medical record review, policy review, and interview, the facility failed to adequately address residents' complaints of pain for two (Residents #29 and #326) of five residents reviewed for pain. Actual Harm occurred to Resident #326 on 11/13/22 after staff assessed her with pain which was almost constant with a severity of nine on a scale of zero to ten with acknowledgment Resident #326 had no pain interventions in place, but did not pursue attempts to provide pain relief. Actual Harm occurred to Resident #29 on 11/14/22 after she was noted crying with interview revealing she was having pain from a fractured shoulder and requested ordered pain medication which the nurse refused to administer stating Resident #29 had been medicated earlier. Findings include: 1. […]

• Actual harm, isolatedF760Apr 25, 2022

  Based on closed medical record review, facility policy and procedure review and interview the facility failed to ensure Resident #87 was free from a significant medication error when the resident's cardiac medication, [MEDICATION(S)] was not administered as ordered. Actual Harm occurred on 04/09/22 when Resident #87 was transferred to the hospital with shortness of breath and altered mental status after not receiving the ordered [MEDICATION(S)] for three days (04/06/22, 04/07/22 and 04/08/22). Hospital records, dated 04/09/22 revealed the resident's [MEDICATION(S)] level was not super therapeutic 0.49 (normal 0.8-2.0). An electrocardiogram (EKG) showed [CONDITION(S)] (irregular heart rhythm) at 146 beats per minute, [CONDITION(S)] and ST-T wave changes. […]

• No harm, potential for more than minimal, widespreadF921Aug 7, 2025

  Based on observation and interview, the facility failed to maintain a sanitary, clean and comfortable environment for all residents. This affected residents residing in 10 of 13 rooms observed, involved one of two resident shower/bathing rooms and had the potential to affect all 81 residents residing in the facility. Findings include:On 08/06/2025 between 11:20 A.M. and 12:17 P.M. observations of random rooms throughout the facility with Housekeeping Supervisor #190 revealed the following concerns which were verified by the supervisor at the time of the observation: Handrails in the hallway outside the dining room and office areas were observed being used by multiple unidentified residents as they propelled themselves to the main dining room. […]

• No harm, potential for more than minimal, widespreadF727Nov 17, 2022

  Based on review of schedules and interviews, the facility failed to ensure the Director of Nursing (DON) did not work as a charge nurse when the facility census was greater than 60. This had the potential to affect all 79 residents residing in the facility. Findings include: Review of nursing schedules from 10/15/22 to 11/17/22 revealed the DON worked as a charge nurse on 11/12/22 between 6:00 P.M. and 10:00 P.M. when the census was 80 and on 11/13/22 between 3:00 P.M. and 6:00 P.M. when the census was 79. On 11/15/22 at 4:22 P.M., the DON verified she worked as a charge nurse on the evening of 11/12/22 and the afternoon of 11/13/22. The DON stated she was unaware she was unable to work as a charge nurse if the census was greater than 60. […]