The Laurels of Bedford

In the surveyor’s words

From the most serious findings on record at The Laurels of Bedford, in the surveyor’s own words.

• Actual harm, isolatedF686Jun 12, 2026

  This citation pertains to Intake: 2960508Based on observation, interview, and record review the facility failed to prevent the development of pressure ulcers for one resident (R2) out of three residents with pressure ulcers reviewed, resulting in the development of three facility acquired stage 3 pressure ulcers (full thickness tissue loss) and worsening of one stage 3 pressure ulcer present on admission to stage 4 (full thickness tissue loss with exposed bones and or tendons) that required hospital transfer for osteomyelitis (wound and bone infection), pain, and debridement. […]

• Actual harm, isolatedF686Oct 13, 2021

  This citation pertains to MI 775. Based on observation, interview and record review, the facility failed to provide services to prevent and treat pressure ulcers, in two of three residents reviewed for pressure ulcers (Resident #22 & #62), resulting development of avoidable and worsening pressure ulcers. Findings include: Resident #22 (R22) R22's Minimum Data Set (MDS) assessment dated [DATE], indicated she admitted to the facility on [DATE] and readmitted to the facility 6/29/21. R22's cognition was severely impaired, she required extensive assistance (staff provided weight bearing support) of two plus persons for bed mobility and was completely dependent (full staff performance) for transfers with two plus person assist. […]

• Actual harm, isolatedF689Mar 17, 2021

  This Citation Pertains To Intake MI 276 Based on observation, interview and record review the facility failed to ensure the sling was correctly connected to the mechanical lift prior to initiating a transfer from bed to wheelchair for 1 residents (#3) of 3 residents reviewed for mechanical lift transfers. Resulting in a displaced fifth mid metacarpal fracture and a right femur fracture, pain and the inability to eat independently with utensils. Findings Include: Resident#3 According to the clinical record including the Minimum Data Set ((MDS) dated [DATE], Resident #3 (R3) was a [AGE] year old female, admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. bilateral hips and knees. […]

• No harm, potential for more than minimal, widespreadF880Nov 14, 2025

  Based on observation, interview, and record review, the facility failed to have an active and ongoing plan for reducing the risk of Legionella and other opportunistic pathogens of premise plumbing (OPPP). This deficient practice has the increased potential to result in waterborne pathogens to exist and spread in the facility's plumbing system and an increased risk of respiratory infection among any or all the residents in the facility.Findings include:On 9/16/25 at 1:56 PM, Observation of the 300 hall Tub room found that discolored water came from the tub and sink of the room. An interview with Maintenance Director (MD) H found that staff do not regularly use this room, but he uses the tub to help clean maintenance items sometimes. […]

• No harm, potential for more than minimal, widespreadF802Sep 12, 2024

  Based on observations and interviews, the facility failed to provide sufficient staffing related to Dietary Services effecting 107 residents, resulting in the increased likelihood for delayed meal preparation and delivery service. Findings include: On 09/11/24 at 09:05 A.M., A comprehensive tour of the food service was conducted with Dietary Manager P. The following items were noted: Dietary Manager Q and Dietary [NAME] R from another regional corporate facility were observed assisting facility staff with the Breakfast Meal preparation and delivery service protocol. On 09/11/24 at 09:14 A.M., An interview was conducted with Dietary Manager P regarding current facility staffing levels. […]