The Laurels Of Bon Air

In the surveyor’s words

From the most serious findings on record at The Laurels Of Bon Air, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Jan 7, 2026

  Based on staff interview and clinical record review, it was determined the facility staff failed to administer medications per the physician orders for three of five residents in the survey sample, Residents # 4, #5, and #2.The findings include:1. For Resident #4 (R4), the facility staff failed to administer Calcium Carbonate Chewable Tablets on two occasions in December 2025.The physician order dated, 3/22/2025, documented, Calcium Carbonate Chewable Tablets ( used to treat heartburn, upset stomach) (1) 500 MG (milligrams); Give 1 Tablet by mouth in the morning.The MAR (medication administration record) for December 2025, documented the above order. […]

• No harm, potential for more than minimal, patternF656Jun 27, 2024

  Based on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for four of 43 residents; Residents #97, #22, #19, and #86. The findings include: 1. For Resident #97, the facility staff failed to implement the comprehensive care plan related to the Foley catheter. A review of the comprehensive care plan revealed one dated 2/12/24 for (Resident #97) is at risk for urinary tract infection and catheter-related trauma: has Indwelling Catheter 16F r/t (related to) chronic obstructive uropathy. […]

• No harm, potential for more than minimal, patternF580Nov 3, 2022

  Based on clinical record review, staff interview and facility document review, and it was determined that the facility staff failed to notify the physician that a resident's medications were not administered for one of 52 residents in the survey sample, Resident #2 (R2). The findings include: For (R2), the facility staff failed to notify the physician that the physician ordered antibiotic, ceftriaxone [1] was not administered on 10/27/2022, 10/28/2022, 10/31/2022, 11/01/2022 and on 11/02/2022 and vancomycin [2] was not administered on 10/18/2022, 10/19/2022 and 10/28/2022. […]

• No harm, potential for more than minimal, patternF623Nov 3, 2022

  Based on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence that the RP (responsible party) and/or Long Term Care Ombudsman was notified of a transfer to the hospital for four out of 52 residents in the survey sample; Residents # 95, #15, #31 and #81. The findings include: 1. The facility staff failed to evidence written RP (responsible party) and/or ombudsman notification at the time of discharge for Resident #95. Resident #95 was transferred to the hospital on 9/22/22. Resident #95 was admitted to the facility on [DATE] with diagnosis that included but were not limited to: anemia, hypertension, and malnutrition. […]

• No harm, potential for more than minimal, patternF625Nov 3, 2022

  Based on staff interview, clinical record review and facility document review, it was determined the facility staff failed to provide evidence that bed hold notifications were provided to four out of 52 residents in the survey sample that were transferred to the hospital; Residents # 95, #15, #31 and #81. The findings include: 1. The facility staff failed to evidence bed hold notification was provided at the time of transfer to Resident #95 and/or resident responsible party. Resident #95 was transferred to the hospital on 9/22/22. […]