The Laurels of Fulton

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 8, 2025

  This citation pertains to intake 2636578Based on interview and record review, the facility failed to implement measures to prevent the elopement from the facility for one resident known to be at risk for elopement (R101) of four residents reviewed resulting in an Immediate Jeopardy that began on 9/21/25 when R101 left the facility unbeknownst to staff which created a high likelihood for serious harm, injury, and/or death. Findings include: Review of the admission Record reflected R101 originally admitted to the facility 9/19/23 and had pertinent diagnoses that included Alzheimer's Disease, Dementia with Mood Disturbance and Major Depressive Disorder - recurrent and severe with Psychotic Symptoms. […]

• Actual harm, isolatedF657Nov 21, 2024

  Based on observation, interview, and record review, the facility failed to ensure the comprehensive care plan was reviewed and revised for one resident (Resident #8) out of 13 residents reviewed for quality care, resulting in hospitalization for a fracture sustained after a fall from staff use of the incorrect lift device. Findings: Resident #8 (R8) Review of an Admission Record reflected R8 admitted to the facility with diagnoses that included generalized osteoarthritis, hemiplegia and hemiparesis (weakness and partial paralysis) of the left non-dominant side following a stroke, history of traumatic brain injury and muscle weakness. […]

• Actual harm, isolatedF686Nov 21, 2024

  Based on observation, interview, and record review, the facility failed to 1.) implement the facility policy for pressure injury/wound management, 2.) ensure pressure injury/wound assessments were comprehensive and accurate, and 3.) ensure treatments were promptly ordered and completed, for 2 of 13 residents (Resident #17 and #1) reviewed for alterations in skin integrity, resulting the development of preventable pressure injuries and the worsening of wounds. Findings: Resident #17 (R17) Review of an Admission Record revealed R17 was a [AGE] year-old female, admitted to the facility on [DATE], with pertinent diagnoses which included: chronic respiratory failure, chronic heart failure, and diabetes. R17 was dependent on staff for all activities of daily living. […]

• Actual harm, isolatedF689Nov 21, 2024

  This citation pertains to intake #MI00148210 Based on interview and record review, the facility failed to provide enhanced supervision and assistance to residents with acute medical changes and significant medication changes, for two of five residents (Resident #32 and Resident #16) reviewed, resulting in a fractured left arm and a brain bleed for Resident #32 and a fractured right arm for Resident #16. Findings: Resident #32 (R32) Review of an Admission Record revealed R32 was an [AGE] year old female, originally admitted to the facility on [DATE], with pertinent diagnosis of seizure disorder, stroke with impaired speech, congestive heart failure, morbid obesity, impaired vision, muscle weakness, and pain in both knees. […]

• Actual harm, isolatedF686Nov 9, 2023

  Based on observation, interview, and record review, the facility failed to prevent facility acquired pressure injuries and provide pressure injury preventative care consistent with professional standards of practice for 3 residents (Resident #94, #37, and #193) reviewed for the risk of and/or the development of pressure injuries, resulting in the development of an avoidable pressure injury, the worsening of a pressure injury, and the potential for skin breakdown and overall deterioration in health status. Findings: Resident #94 (R94) Review of an Admission Record reflected R94 was admitted to the facility on [DATE] with diagnoses that included traumatic brain injury, respiratory failure and a urinary tract infection. […]