Laurens Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF729Mar 21, 2024

  Based on personnel file review, interviews, and review of the Direct Care Worker (DCW) Registry the facility failed to verify and assure a student certified nursing assistant (CNA) actually became certified and registered after completing the CNA course and taken the written exam for 1 of 5 CNAs reviewed (Staff G). The facility reported a census of 30 residents. Findings include: The personnel file for Staff G, student CNA documented a hired date of 3-23-23. Review of the personnel file lacked documentation Staff G, student CNA was registered on the Iowa Direct Care Worker Registry (DCW) The personnel file documented Staff G had passed the skills competency exam on 8-10-23 and the written exam with a 71% final score on 9/18/23. […]

• No harm, potential for more than minimal, patternF868Apr 16, 2026

  Based on the review of the Quality Assurance Performance Improvement (QAPI) sign in sheets, staff interview and policy review, the facility failed to ensure all required members attended the quarterly Quality Assessment and Assurance (QAA) meetings. The facility reported a census of 28 residents. Findings include: Review of the QAPI Meeting Attendance sign-in sheets from March 2025 to April 2026 revealed all required team members did not attend a quarterly QAA meeting since 5/27/25.On 4/15/26 at 12:40 PM, the Director of Nursing (DON) acknowledged not all required team members have attended the QAA meeting quarterly. She said there have been staff members that have come and gone along with changes in leadership positions. […]

• No harm, potential for more than minimal, patternF600Oct 8, 2025

  Based on observation, record review, and staff interview, the facility failed to ensure residents were free from abuse for 2 of 3 residents reviewed (Resident #2 and #3) by another resident (Resident #1). Resident #1 touched Resident #2 inappropriately on the chest on 2 separate occasions, and Resident #3 on 1 occasion. The facility reported a census of 27 residents.Findings include:1) According to the Minimum Data Set (MDS) assessment dated [DATE], Resident #2 scored 2 on the Brief Interview for Mental Status (BIMS) indicating severe cognitive impairment. The resident required partial to moderate assistance wheeling self in wheel chair 50 feet and making turns, and when wheeling self 150 feet in a corridor or similar space. […]

• No harm, potential for more than minimal, patternF801Feb 9, 2023

  Based on facility policy and staff interview, the facility failed to ensure the Dietary Manager was certified. The facility reported a census of 28 residents. Findings include: In an interview on 2/6/23 at 11:18 AM , the Dietary Manager (DM) reported she had 10 of 17 modules completed and had to complete 3 tests to obtain her Certified Dietary Manager (CDM) certification. In the same interview, the DM reported that worked in this position at the facility since November 2021. In an interview on 2/8/23 at 10:26 AM, the Business Office Manager (BOM) reported the Dietary Manager was hired on 11/16/21 for the position of DM. […]

• No harm, potential for more than minimal, patternF880Sep 23, 2021

  Based on observation, facility records, and staff interview the facility failed to provide infection control practices to prevent the transmission of infectious agents for 4 of 32 residents reviewed (Residents #13, #14, #3, and #130). The facility reported a census of 32 residents. Findings include: 1. Observation on 9/13/21 at 12:35 PM of no goggle use by the staff in the building. The Interim Infection Prevention and Control Recommendations to Prevent [CONDITION(S)]-CoV-2 Spread in Nursing Homes dated 3/29/21 from the Centers for Disease Control and Prevention (CDC) directed eye protection use in areas with moderate to substantial community transmission during patient care encounters. […]