Mountain Laurel Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Mountain Laurel Rehabilitation and Nursing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 8, 2025

  Based on staff interviews, clinical record review, and facility document review, and in the course of a complaint investigation, the facility staff failed to protect a resident's right to be free from physical and mental abuse for one (1) of fifty-five (55) sampled residents (Resident #454). The scope and severity were originally cited at Immediate Jeopardy, Level IV isolated, beginning on 8/30/24, and was reduced to a Level III isolated after the facility was cleared of Immediate Jeopardy. The facility staff provided an abatement plan that was verified by the survey team through additional observations, interviews, and document reviews. […]

• Immediate jeopardy, isolatedF684Apr 8, 2025

  Based on resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to provide treatment and care services in accordance with professional standards of practice for twenty-one (21) of fifty-five (55) sampled residents (Resident #103, Resident #453, Resident #41, Resident #17, Resident #454, Resident #71, Resident #153, Resident #32, Resident #40, Resident #50, Resident #78, Resident #254, Resident #255, Resident #13, Resident #85, Resident #93, Resident #23, Resident #96, Resident #353, Resident #100, and Resident #55). […]

• Immediate jeopardy, isolatedF742Apr 8, 2025

  2. For R454, the facility staff failed to appropriately assess and treat a hospice patient with a history of trauma, by involving the family in the comprehensive admission assessment and administering medications ordered by the provider for paranoia and agitation. R454's diagnoses according to the facility diagnoses sheet, included but were not limited to, other seizures, chronic obstructive pulmonary disease, hypertension, anxiety, heart failure, personal history of suicidal behavior, traumatic brain injury, major depressive disorder, and vascular dementia with psychotic disturbance. R454's minimum data set (MDS) assessment with an assessment reference date of [DATE] assigned the resident a brief interview for mental status score of 11 out of 15 indicating moderate cognitive impairment. […]

• Actual harm, isolatedF675Apr 8, 2025

  Based on observation, family interview, resident interview, staff interviews, clinical record review, and facility document review, the facility staff failed to provide the necessary care and services to attain and/or maintain the highest practicable physical, mental, and psychosocial well-being for two (2) of fifty-five (55) sampled residents, (Resident #454 and Resident #13). The findings include: 1.For Resident #454, the facility staff failed to provide the necessary care and services for the resident to attain or maintain the highest practicable physical, mental and psychosocial well-being during an incident that occurred on 8/30/24 between the resident and a nurse. […]

• Actual harm, isolatedF690Apr 8, 2025

  Based on staff interview, clinical record review, and facility document review, the facility staff failed to obtain the provider ordered laboratory test urinalysis for 1 of 55 sampled residents, Resident #21. This resulted in Resident #21 being transferred to a higher level of care and being treated in the emergency department with IV (intravenously) fluids and an antibiotic for a urinary tract infection (UTI), dehydration, and altered mental status. The findings include. For Resident #21 the facility staff failed to obtain the provider ordered laboratory test urinalysis. The provider ordered a urinalysis on 02/25/25. […]