Laurelwood Community Living Center

In the surveyor’s words

From the most serious findings on record at Laurelwood Community Living Center, in the surveyor’s own words.

• Immediate jeopardy, patternF919Apr 2, 2021

  Based on observation, interview, record review, and review of the facility policy it was determined that the facility failed to ensure that all parts/entities of the resident call system were functioning properly for 31 of 44 resident call systems observed. The resident call system was not monitored at the nursing station/desk and did not sound with audio signaling at the nursing station panel/board for 31 resident rooms (resident rooms 1-31). There was no facility staff observed at the nursing station/desk from 7:45 A.M. - 11:30 A.M. on 03/18/2021. The facility's failure to provide supervision and to devise appropriate monitoring and surveillance for all residents while the resident call system was malfunctioning was likely to cause serious harm, injury, impairment, or death. […]

• Actual harm, isolatedF580Apr 10, 2025

  Based on interviews, record review, and the facility policy review, the facility failed to notify the physician of a resident with no documented bowel movement for six (6) consecutive days, which resulted in the resident being hospitalized on [DATE] for evaluation that included findings consistent with fecal impaction for one (1) of 14 sampled residents. Resident #25 Cross Reference F684, F656 Findings include: A record review of the facility's policy Notification of Changes in a Resident's Conditions or Status, undated, revealed, . It is the policy of this facility to .consult with his or her physician .changes in the resident's condition and/or status .Procedure 1. Nursing services shall be responsible for notifying the resident's attending physician when .d. […]

• Actual harm, isolatedF656Apr 10, 2025

  Based on interviews, record review, and the facility policy review, the facility failed to implement comprehensive person-centered care plan interventions for a resident with constipation and no documented bowel movements for consecutive days, which resulted in a Resident being hospitalized on [DATE] for evaluation that included findings consistent with fecal impaction for one (1) of 14 sampled residents. Resident#25 Cross Reference F580, F684 Findings include: A review of the facility's policy Care Plans, Comprehensive Person-Centered, reviewed 10/2022 revealed, . A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. […]

• Actual harm, isolatedF684Apr 10, 2025

  Based on interviews, record review, and the facility policy review, the facility failed to identify or respond to a clinically relevant pattern of constipation, which resulted in a resident being hospitalized on [DATE] for evaluation that included findings consistent with fecal impaction for one (1) of 14 sampled residents. Resident #25 Cross Reference F580, F656 Findings include: A record review of the statement provided via the Administrator on facility letterhead dated 4/10/25 revealed, . (Proper Name of Facility) does not have a policy for constipation or bowel movements. During a phone interview, on 04/07/25 at 02:38 PM, Resident #25's daughter explained that her mother had been hospitalized in January because she did not have a bowel movement (BM) for a week. […]

• No harm, potential for more than minimal, widespreadF812Apr 10, 2025

  Based on observation, staff interviews, record review, and facility policy review, the facility failed to maintain a sanitary and pest-free environment in the kitchen by not ensuring effective pest control measures were implemented and sustained for two (2) of three (3) kitchen observations. Findings included: A review of the facility's policy, Sanitization (undated), revealed, .The food service area shall be maintained in a clean and sanitary manner. Policy Interpretation and Implementation 1. All kitchens, kitchen areas shall be . protected from rodents, roaches, flies, and other insects. A review of the facility's Pest Control Policy, dated 4/10/23, revealed, .Our facility shall maintain an effective pest control program. Policy Interpretation and Implementation 1. […]