Laurelwood Healthcare Center

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 8, 2024

  Based on observation, review of the facility investigation, record review, and interview. It was determined that the facility failed to provide a safe environment to prevent a fall with injury causing actual harm (Resident #102 ), and failed to provide supervision to prevent an elopement (Resident #18 and #106). This was evident in 3 of 3 residents reviewed for accidents during a recertification/complaint survey. The findings include: 1) On 7/31/24 at 8:38 AM a review of complaint MD00204146, that was received by the State Survey Agency (SA), alleged that Resident #102 was unable to walk or move out of bed. The complaint alleged that staff were changing Resident #102 and apparently dropped Resident #102 resulting in a broken hip. […]

• No harm, potential for more than minimal, widespreadF917Jan 30, 2026

  Based on observations and interviews, it was determined that the facility failed to provide individual closet space that keeps a resident's clothing separate from their roommates. This was found to be evident in all double occupancy rooms in the facility.The findings include:On 1/29/2026 at 10:20 AM, License Practical Nurse (LPN) #7 was interviewed regarding resident furniture in rooms. LPN #7 stated that in double occupancy rooms, residents share one large dresser that has 5 drawers, each resident gets their own side table with 2 drawers, and both residents share one closet.On 01/29/2026 at 10:53 AM, observations of double occupancy rooms 120, 128, 215, 221, 225, 228, and 229 revealed that there was no physical separation of items in the room closet shared by residents. […]

• No harm, potential for more than minimal, widespreadF801Aug 8, 2024

  Based on the surveyor's observation and interview with staff, it was determined that the facility failed to ensure that it had qualified staff with the appropriate competencies and skill sets to carry out food and nutrition services. This was evidenced by the lack of qualified staff and has the potential to affect all residents. The findings include: Full-time means working 35 or more hours a week. Part-time employees typically work fewer hours in a day or during a work week than full-time employees. The U.S. Department of Labor, Bureau of Statistics uses a definition of 34 or fewer hours a week as part-time work. […]

• No harm, potential for more than minimal, widespreadF812Aug 8, 2024

  Based on the surveyor's observation and Interviews with staff, it was determined that the facility failed to ensure that food was stored and served in accordance with professional standards for food safety requirements. This was identified during multiple observations of the kitchen food service operations during the recertification/complaint survey and has the potential to affect all residents. Findings include: The surveyor's kitchen initial observation on 07/22/24 at 09:32 AM revealed ice plaques on plastic freezer curtain strips in the freezer room. Icicles were noted on the black cord connecting the freezer and freezer door. Icicles noted behind condenser connection. […]

• No harm, potential for more than minimal, widespreadF813Aug 8, 2024

  Based on the surveyor's observation and staff interviews, it was determined that the facility failed to maintain the guidelines and the facility's policy for storing food brought in by family or visitors and distinguishing it from the facility's food. This was evidenced by observations of residents' food storage brought in by family and visitors and has the potential to affect all residents. The findings include: On 07/24/24 at 11 AM, an interview with the unit Manager (Staff # 23) revealed that the refrigerator located in the nourishment room next to the Nurses' station is used for the purpose of saving any supplements, sandwiches for residents, and any food brought by the residents' family or visitors. […]