The Laurels of Carson City

In the surveyor’s words

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

• Immediate jeopardy, patternF686May 2, 2024

  Based on observation, interview and record review, the facility failed to accurately assess, provide treatments as ordered, and ensure physician oversite for wounds for 2 residents (Resident #276 and #64) out of 18 residents reviewed for alterations in skin integrity/pressure injuries, resulting in an immediate jeopardy when on 12/21/23, an alteration in skin integrity was identified on R276's left heel. R276 was not provided care in accordance with professional standards of practice and facility policy to treat and prevent the deterioration pressure injuries, did not have an accurate assessment of the pressure injury, and was not provided the necessary treatment for a deteriorating pressure injury resulting in the development of osteomyelitis. […]

• Immediate jeopardy, isolatedF600Mar 28, 2022

  This citation pertains to intake #: MI 832 Based on observation, interview and record review, the facility neglected the psychosocial needs of its residents when they failed to 1.) ensure staff were educated and qualified to systematically and accurately assess resident mood and behavior, 2.) identify and address signs and symptoms of psychosocial distress and promptly respond to suicidal residents (R4 and R67) and residents who reported suicidal ideation (R9) and clinically significant mood and behavior disorders, 3.) notify the physician, family/responsible party, and psychiatric services of psychiatric crisis, 4.) ensure resident safety, assess resident environment, provide ongoing supervision and monitoring, 5.) implement care planned interventions and ensure care plans are… […]

• Immediate jeopardy, isolatedF742Mar 28, 2022

  This citation pertains to intake #: MI 832 Based on observation, interview and record review, the facility failed to meet the emotional and/or behavioral needs for 3 residents when they failed to 1). Identify and assess residents with a history of trauma and/or adjustment difficulty and implement the appropriate treatment and/or services and 2.) identify and implement facility policy for 1 resident (R4) after an actual attempt of suicide (wrapped a call light cord around her neck) and 2 residents that had verbalized thoughts of self-harm and feeling they would be better off dead (R67 and R9), resulting in an Immediate Jeopardy beginning on 1/27/22 when R67 expressed the desire to kill himself and went without safety interventions. […]

• Actual harm, patternF880May 2, 2024

  This citation is related to intake #MI00140932 Based on interview and record review, the facility failed to 1.) promptly identify an outbreak of acute respiratory illness and implement facility infection prevention and control policies and procedures, 2.) implement transmission-based precautions for residents with signs and symptoms of acute respiratory illness to prevent the spread of infection, 3.) ensure prompt testing for residents with signs and symptoms of acute respiratory illness, 4.) investigate the outbreak and document the surveillance of respiratory infections, and 5.) follow transmission based precautions for suspected Clostridum difficle (C-diff). […]

• Actual harm, isolatedF883May 2, 2024

  Based on interview and record review, the facility failed to provide the pneumococcal immunization per consent and the recommendation by the Centers for Disease Control and Prevention (CDC) for 1 (Resident #287) out of 5 reviewed for immunizations, resulting in residents not receiving the pneumococcal immunization. Findings: Resident #287 (R287) Review of an Admission Record revealed R287 was an [AGE] year-old female, admitted to the facility on [DATE]. Review of R287's Pneumococcal Immunization Consent revealed R287 consented/requested the pneumonia vaccine on 1/23/24. […]