Lorien NSG & Rehab CTR Belair

In the surveyor’s words

From the most serious findings on record at Lorien NSG & Rehab CTR Belair, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jan 9, 2026

  Based on observation and interview it was determined the facility failed to ensure food temperatures were taken and recorded prior to the serving of food, ensure foods were not left open to air within the walk in refrigerator and freezer, ensure the labeling of foods and follow professional standards for food service safety. This was evident during the surveyor's initial tour of the facility's kitchen and has the potential to impact all residents who eat food from the kitchen. The findings include: 1. On 01/05/2026 at 7:45 AM the surveyor conducted an initial tour of the facility's kitchen. […]

• No harm, potential for more than minimal, widespreadF812Jun 12, 2024

  Based on observation, interview and record review it was determined that the facility staff failed to: 1) ensure cold holding temperatures were consistently taken, ensure cold holding temperatures are maintained within appropriate ranges, ensure ice cream freezers were free from ice build up, and ensure ice cream was covered, and 2) ensure the required sanitation levels of the facility's dishwashing machine at each mealtime were monitored. This was evident during the facility's recertification survey. The findings include: 1) On 5/28/24 at 9:01AM the surveyor conducted an initial tour of the facility's kitchen. […]

• No harm, potential for more than minimal, patternF656Jun 12, 2024

  Based on observation, medical record review, and staff interview, it was determined that the facility staff failed to develop and initiate comprehensive person-centered care plans for residents residing in the facility. This was evident for 4 (# 70, #46, #54, #90) of 42 residents reviewed during a recertification survey. The findings include: A care plan is a guide that addresses the unique needs of each resident. It is used to plan, assess, and evaluate the effectiveness of the resident's care. […]

• No harm, potential for more than minimal, isolatedF628Jan 9, 2026

  Based on record review and interviews with staff, it was determined that the facility failed to ensure a system was in place to notify the local Ombudsman of the facility's initiated transfers to the hospital. This was evident for 1 (Resident #113) out of 3 closed records reviewed during the annual survey. The findings include:Transfer and discharge: Includes movement of a resident to a bed outside of the certified facility whether that bed is in the same physical plant or not. Transfer and discharge does not refer to movement of a resident to a bed within the same facility. Specifically, transfer refers to the movement of a resident from a bed in one facility to a bed in another facility when the resident expects to return to the original facility. […]

• No harm, potential for more than minimal, isolatedF658Jan 9, 2026

  Based on observations, medical record reviews, and interviews with facility staff, it was determined that the facility failed to follow professional standards of practice by not administering physician-ordered medications at their scheduled times, and failed to ensure the timely administration of medications. This was found to be evident for 2 (Resident # 103 and Resident # 107) of 6 residents observed during medication administration observation, and for 1 (Resident #11) out of 2 Residents reviewed for pain during the survey. […]