The Laurels of Hudsonville

In the surveyor’s words

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

• Actual harm, isolatedF684Jun 2, 2026

  This citation pertains to intakes: 2794208, 3001098, 3005108 and 2711826 Based on interview and record review, the facility failed to 1.provide care and services to ensure abnormal laboratory values were addressed, 2. Implement resident directed care for CHF (congestive heart failure) and bacteremia sepsis (blood infection), 3. Recognize, assess, and address the resident's condition, 4. Monitor, evaluate, and revise responses to interventions as appropriate, 5. Provide appropriate physician oversight, and 6. Honor the advance directives for two (R1 and R13) of 3 residents reviewed for quality of care, resulting in the unexpected death of a resident (R31) and medication not being provided as ordered (R1). […]

• Actual harm, isolatedF686Aug 7, 2025

  Based on interview and record review, the facility failed to consistently implement ordered preventative skin measures, accurately and thoroughly assess a facility acquired pressure ulcer, create and initiate new care plan interventions based on the resident's current condition, and monitor and perform weekly skin assessments for one (Resident #13) of three residents sampled for pressure injuries, resulting in an infected left hand requiring emergency room intervention and surgery. Findings:Resident #13 (R13)Review of an admission Record revealed R13 was a [AGE] year-old female, last re-admitted to the facility on [DATE], with pertinent diagnoses of dementia and Parkinson's disease with severe contractures of both hands. […]

• Actual harm, isolatedF689Aug 7, 2025

  Based on interview and record review, the facility failed to follow the policy and procedures and implement measures to prevent a fall for one (R10) of 4 residents reviewed for falls, resulting in a fall with a major injury.Findings include:Review of a Face Sheet revealed R10 originally admitted to the facility on [DATE] and has pertinent diagnoses of vascular dementia with behaviors, hemiplegia/hemiparesis (one sided weakness) and lack of coordination. Review of the Care Plan for R10 revealed: AMBULATION/WALKING: (R10) requires: Partial/moderate assist with THERAPY STAFF ONLY and HEMI-WALKER, initiated 2/18/25. No other modes of mobility are documented. Review of the Order Summary for R10 revealed on 5/23/25 he had orders for 5 mg (milligrams) of Warfarin/coumadin (blood thinner). […]

• Actual harm, isolatedF686Nov 14, 2024

  This citation pertains to intake MI00147718 Based on observation, interview, and record review, the facility failed to prevent the development and worsening of pressure injuries for one resident (Resident #1) out of 4 residents reviewed for pressure injury, resulting in worsening of pressure injury, serious infection, and delayed wound healing. Findings include: Resident #1 (R1) Review of an Admission Record reflected R1 admitted to the facility on [DATE] with diagnoses that included enterovirus, anemia, high blood pressure, chronic kidney disease, chronic congestive heart failure (CHF), atrial fibrillation with the presence of automatic (implantable) cardiac defibrillator, history of stroke, cognitive communication deficit, and muscle weakness. […]

• Actual harm, isolatedF684Mar 31, 2022

  Based on interview and record review the facility failed to consistently implement physicians orders for 1 of 3 residents (Resident #101) reviewed for quality of care, resulting in facility staff not recognizing the risk of low blood pressure prior to administering blood pressure medications which placed Resident #101 at risk for serious health conditions. Findings include: Review of an Admission Record revealed Resident #101 was originally admitted to the facility on [DATE], with pertinent diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of a Minimum Data Set (MDS) assessment for Resident #101, with a reference date of 3/25/22 revealed a Brief Interview for Mental Status (BIMS) score of 15, out of a total possible score of 15, which indicated Resident #101 was cognitively intact. […]