Laurelwood Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF584Jan 22, 2026

  Based on policy review, Maintenance Director Job Description review, https://weather.com review, National Library of Medicine website review, invoice review, medical record review, observation, and interview, the facility failed to ensure residents resided in a safe, clean, homelike, and comfortable environment with temperatures ranging from 71 degrees Fahrenheit (F) to 81 degrees F when resident room temperatures were measured ranging from 53 degrees F to 65 degrees F in 8 of 35 (Resident #11, #13, #14, #20, #27, #34, #40, #42, #45, #47, and #51) resident rooms observed during initial tour. […]

• Immediate jeopardy, isolatedF689Mar 26, 2024

  AMENDED 6.10.24 Based on policy review, Occupational Safety and Health Administration (OSHA) review, medical record review, observations, and interview, the facility failed to ensure the residents' environment was free of accidents and hazards when the facility failed to develop and implement care plan interventions to prevent falls for a resident with high risk of falls, supervise a cognitively impaired Resident, failed to monitor the Resident's condition post fall, and failed to provide care and services for 1 of 10 (Resident #42) sampled residents reviewed for falls. Resident #42 is a moderately cognitively impaired Resident who was ambulatory with a walker, fell on [DATE], and had complaints of right hip pain documented on 10/19/2023. […]

• Immediate jeopardy, isolatedF600Jun 15, 2022

  Based on policy review, video footage review, facility investigation review, medical record review, observation, and interview, the facility failed to provide a safe environment and ensure supervision to prevent neglect for 1 of 3 residents (Resident #1) reviewed for elopement risk. The facility's failure to provide care and services necessary to prevent neglect resulted in Immediate Jeopardy when Resident #1, a moderately impaired, vulnerable resident was left unsupervised beside an exit door and exited the facility in his wheelchair without staff knowledge or supervision after a staff member entered the facility through the Main Entrance Sliding Door. The facility was unaware of the resident's location for approximately 10 minutes. […]

• Immediate jeopardy, isolatedF689Jun 15, 2022

  Based on policy review, weather website review, camera footage review, medical record review, observation, and interview, the facility failed to ensure a safe, secure environment for a vulnerable, cognitively impaired resident with wandering behaviors for 1 of 3 sampled residents (Resident #1) reviewed for elopement/wandering. The facility's failure to ensure a safe, secure environment resulted in Immediate Jeopardy (IJ) when Resident #1 exited the facility in his wheelchair without staff knowledge or supervision after a staff member entered the facility through the Main Entrance Sliding Door. […]

• No harm, potential for more than minimal, patternF550Jan 22, 2026

  Based on policy review, invoice review, medical record review, a list of residents who use the 100 Hall communal bathrooms, observation, and interview, the facility failed to promote and ensure dignity and quality of life was met for 3 of 4 residents (Resident #14, #29, and #34) sampled for activities of daily living.The findings include: 1. Review of the undated facility policy titled, Resident Rights, revealed .The resident has the right to a dignified existence.The right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences .The resident has the right to personal privacy .Personal privacy includes accommodations .personal care .The resident has a right to a.comfortable, and homelike environment, including but not limited to… […]