The Laurels of Galesburg

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Jul 1, 2026

  This citation pertains to intake 3052819.Based on interview and record review the facility failed to initiate cardiopulmonary resuscitation (CPR) and emergency medical services (EMS) for in 1 of 4 residents (R100) reviewed for acute change of condition, resulting in an Immediate Jeopardy, when on [DATE] R100 who was a full code, was found unresponsive and facility staff did not active EMS or initiate CPR. R100 subsequently was pronounce dead on [DATE] at 6:00am. Findings include:The facility failed to initiate CPR and EMS response for R100 who was a full code when found unresponsive on [DATE] at 5:50 AM. R100 was last seen on [DATE] at 4:45 AM when a breathing treatment was started and left during treatment. […]

• Actual harm, patternF561Aug 4, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents had a right to activities of their choosing (smoking) in 5 of 20 residents who smoke (Residents #12, #22, #15, #46, and #11) reviewed for self-determination, resulting in a sustained increase in behaviors and anxiety for Resident #12, feelings of anger and increased behaviors for Resident #22, the potenial for decreased mood for Resident #15, feelings of anger for Resident #46, and increased agitation for Resident #11. […]

• Actual harm, patternF689Aug 4, 2022

  Based on observation, interview and record review the facility failed to ensure adequate supervision for 7 of 8 residents (Resident #'s 23, 43, 52, 77, 13, 12, and 11) reviewed for supervision, resulting in: 1.) the potential for resident to resident abuse due to wandering in Residents #23, #43 and #52, 2.) falls with injury requiring outside intervention for Resident #77 and #13, 3.) falls without major injury for Resident #12, and 4.) an unsupervised elopement for Resident #11. Findings include: During an observation on 7/26/22 at 12:39 PM., 12 residents on the Specialty Care Unit (SCU-Locked dementia unit) eating lunch in the dining room with no staff present for approximately 6 minutes. Noted staff on the SCU passing trays on the hallway, and no nurse present on the unit at this time. […]

• Actual harm, isolatedF689Sep 10, 2025

  Based on observation, interview and record review the facility failed to provide adequate supervision and implement interventions to prevent falls for 1 resident (Resident #7) of 6 residents, resulting in a fall, pain, and impaired functional ability due to amputation of right long finger and injury to right ring fingers. Findings include: Resident #7: Review of an admission Record revealed Resident #7 was a male with pertinent diagnoses which included dementia, history of falling, anxiety, adjustment disorder, hallucinations, legal blindness, hearing loss right ear, and restless leg syndrome (irresistible urge to move the legs). […]

• Actual harm, isolatedF760Jan 28, 2025

  This citation pertains to intake #MI00149391 Based on interview and record review the facility failed to ensure that residents were free from significant medication errors in 1 (Resident #100) of 2 residents reviewed for medication errors resulting in Resident #100 being transferred to an acute care hospital emergency room for treatment and admission to a medical intensive care unit. Findings include: Resident #100 Review of an Admission Record revealed Resident #100 had pertinent diagnoses which included: Cerebral infarction (Stroke), dysphagia (difficulty swallowing), acute respiratory failure with hypoxia (significantly difficult breathing, hypoxia- decreased oxygen in the body's blood) and pneumonitis due to inhalation of food and vomit (infection in the lungs related to inhaling food… […]