The Laurels of Charlottesville

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 30, 2024

  Based on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed, during transport in the facility's van, to secure safety restraints for one of four residents in the survey sample (Resident #1). Upon sudden braking during a transport, Resident #1 was thrown from the wheelchair onto the van floor, and was found with an unattached lap/shoulder safety belt. Resident #1 experienced a painful right ankle fracture and left lower leg fracture that required hospitalization , surgical treatment, and a blood transfusion (harm) as a result of the accident. […]

• Actual harm, isolatedF686Apr 14, 2022

  Based on observation, resident interview, staff interview, facility document review, clinical record review and complaint investigation, the facility staff failed to assess and implement interventions for prevention/care of pressure ulcers for three of twenty-nine residents in the survey sample, Resident #215, #216, and #5. Resident #215 developed a pressure ulcer initially identified at a stage 3 status. There were no skin assessments in the weeks prior to the stage 3 ulcer and no follow up assessment of the pressure injury for sixteen consecutive days. Resident #215's pressure ulcer developed necrotic tissue, foul odor/drainage resulting in hospitalization due to [CONDITION(S)] from the infected wound. Resident #216 was admitted with a stage 2 pressure ulcer. […]

• No harm, potential for more than minimal, patternF572Jul 24, 2025

  Based on observations, resident and staff interviews, and facility documentation, the facility staff failed to appropriately inform residents-both orally and in writing-of their rights and all rules and regulations governing resident conduct and responsibilities during their stay, as required. Additionally, the facility did not have resident rights visibly posted for easy access by all residents.The findings included: The facility staff failed to provide residents with a review of resident rights, facility rules yearly and failed to have resident rights posted where residents can read their rights. On 7/21/25 at 2:00 p.m., a tour of the facility's nursing unit one, two and three was conducted. […]

• No harm, potential for more than minimal, patternF585Jul 24, 2025

  Based on observation, resident interview, staff interview and facility documentation, the facility staff failed to resolve a grievance in a timely manner, failed to post the identification of the grievance officer, and failed to post the grievance procedure in the facility.The findings included: The facility did not have the grievance procedure or who the officer was posted and did not respond to a grievance timely. On 7/21/25 at 2:00 p.m., a tour of the facility's nursing unit one, unit two and unit three was conducted. There was no posting for who the grievance officer was or how to file a grievance on the nursing units or in the lobby area of the facility. On 7/22/25/at 3:00 p.m., a resident council meeting was held. […]

• No harm, potential for more than minimal, patternF607Jul 24, 2025

  Based on staff interview, facility document review, employee record review and clinical record review, the facility staff failed to follow abuse prevention policies for pre-employment screening for thirteen of twenty-five employee records reviewed and failed to identify abuse as defined in the abuse policy following an investigation for one of thirty-three residents in the survey sampled (Resident #43).The findings include:On 7/24/25, twenty-five employee records were reviewed for compliance with the facility's abuse prevention policies for criminal background checks and pre-employment screenings. […]