The Laurels of Heath

In the surveyor’s words

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

• Actual harm, isolatedF760Oct 20, 2025

  Based on closed resident record review, review of a facility medication error report, review of pharmacy labels, staff interview, and policy review, the facility failed to ensure a resident was free from a significant medication error. This affected one (#105) of three residents reviewed for medication errors. Actual Harm occurred on 09/30/25 for Resident #105, when a nurse crushed and administered an extended release Morphine (narcotic pain medication) tablet to the resident, while also administering double the ordered dose of prescribed Lyrica (anticonvulsant analgesic) to the resident, resulting in the need to administer Narcan (opioid reversal agent) to the resident to reverse the effects of a drug overdose and to be evaluated at the local emergency department (ED), after the overdose… […]

• Actual harm, isolatedF686May 11, 2023

  Intakes: OH00142128, OH00142229, OH00142360, OH00142708, OH00142737 Based on record review, facility policy review, and staff and resident interview, the facility failed to implement adequate skin risk interventions for Resident #96 to prevent the development of pressure ulcers. Actual harm occurred on 12/09/22 when Resident #96, who was ventilator dependent, at high risk for pressure ulcer development and dependent on staff for turning and repositioning developed an unstageable (full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because the wound bed is obscured by slough or eschar) pressure ulcer to left elbow. […]

• No harm, potential for more than minimal, widespreadF761Sep 15, 2025

  Based on observation, staff interview, and review of manufacturer guidelines, the facility failed to label Tuberculin (TB) solution (Tubersol) multi-use vials with a date when opened for use. This deficient practice had the potential to affect all 112 residents residing in the facility. The facility census was 112.Findings Include:1. An observation on 09/11/25 at 7:45 A.M. in the medication refrigerator in the Unit Three medication storage room revealed an opened multi-use vial of Tuberculin solution. There was no date on the vial or on the packaging box to reflect when the vial had been opened for use. The vial expiration was 04/2026.An interview on 09/11/25 at 7:47 A.M. […]

• No harm, potential for more than minimal, widespreadF881Sep 15, 2025

  Based on facility infection tracking and monitoring records, and staff interview, the facility failed to properly monitor and address patterns and trends of known infections. This had the potential to affect all 112 residents in the facility. The census was 112. Findings Include:Review of the facility infection control log, dated June 2025, revealed there were two urinary tract infections on one hallway and 12 total skin infections throughout the facility, including three in one unit and three on a separate unit. Review of facility infection control log, dated July 2025, revealed two fungal infections on one unit, two osteomyelitis infections on another unit, three skin infections on a third unit, and two more fungal infections on a fourth unit. […]

• No harm, potential for more than minimal, widespreadF880Aug 14, 2024

  Based on record review, interview, and facility policy review, the facility failed to implement a comprehensive and effective water management program to identify areas in facility at risk for Legionella growth. This affected one resident (#122), who contracted Legionella while residing in the facility and had the potential to affect all 120 residents residing in the facility. The facility census was 120. Findings Include: Record review revealed Resident #122 was admitted to the facility on [DATE] with diagnoses including quadriplegia, dependence on respirator, chronic bronchitis, moderate protein calorie malnutrition, acute embolism and thrombosis, acute respiratory failure with hypoxia, edema, dysphagia, hypertension, pleural effusion, anemia, anxiety disorder, insomnia, sepsis, urinary… […]