The Laurels Of Greentree Ridge

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 16, 2021

  Based on observation, record review, staff, family, and physician interviews, the facility failed to provide care in a safe manner to prevent a fall from the bed which resulted in left [MEDICAL CONDITION] that required a transfer to the hospital for staples for 1 of 3 sampled residents reviewed for supervision to prevent accidents (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of Resident #1's annual Minimum Data Set ((MDS) dated [DATE] revealed assessments of severely impaired cognition, unclear speech, severely impaired vision, and always incontinent with bowel and bladder. […]

• No harm, potential for more than minimal, widespreadF847Aug 20, 2026

  Based on record review and interviews with residents and staff the facility failed to explain the arbitration agreement document in a manner understood by residents. This occurred for 3 of 3 residents reviewed for arbitration agreement (Resident #24, Resident #52 and Resident #90). The deficient practice had the potential to affect all residents admitted to the facility. The census was 81.The findings included:The facility's arbitration agreement read, in part: Signing this Agreement is not a condition of admission, and that care and treatment will be provided to the Resident whether or not he/she signs this Agreement; The Resident or Authorized Representative has the right to cancel this Agreement by notifying the Facility in writing. […]

• No harm, potential for more than minimal, patternF812May 7, 2025

  Based on observations and staff interviews, the facility failed to discard food items that were beyond the manufacturer's expiration date in 2 of 2 walk-in coolers (cooler #1 and cooler #2) in the kitchen and 1 of 1 dry food storage areas. These deficient practices had the potential to affect food served to residents. The findings included: 1. An initial tour of the kitchen occurred on [DATE] at 9:30 AM with the Dietary Manager. The initial observation of the walk-in cooler and dry food storage areas revealed the following: a. The cold food storage had food items that were stored for use beyond the manufacturer's expiration date. […]

• No harm, potential for more than minimal, patternF812Dec 8, 2022

  Based on observations and staff interviews the facility failed to date, label, and remove expired foods from 3 of 3 facility refrigerators (walk-in refrigerator, the ,d+[DATE]-unit nourishment room refrigerator, and the ,d+[DATE]-unit nourishment room refrigerator) This practice had the potential to affect all residents in the facility. The findings included: On [DATE] at 10:10 AM an inspection of the kitchen walk-in refrigerator with the Dietary Manager (DM) revealed a covered container of leftover meat dated [DATE] with use by date of [DATE]. The expired meat was removed for disposal by the DM. An inspection of the ,d+[DATE] nourishment room refrigerator on [DATE] at 10:20 AM revealed an opened 1-gallon jug of chocolate milk belonging to a resident with an expiration date of [DATE]. […]

• No harm, potential for more than minimal, isolatedF758May 7, 2025

  Based on record reviews, staff and Physician Assistant interviews, the facility failed to ensure an as needed (PRN) psychotropic medication, Lorazepam, prescribed for anxiety had a stop date 14 days or less for 1 or 5 residents (Resident #17) reviewed for unnecessary medications. Findings included: Resident #17 was admitted to the facility on [DATE] with diagnoses which included anxiety. A Physician's order dated 1/07/25 read in part for Lorazepam (antianxiety medication) 0.5 milligrams (mg) by mouth every 12 hours as needed for anxiety. […]