The Laurels of Kent

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 30, 2022

  This citation pertains to intake MI 334 and an FIC survey. Based on observation, interviews and record review, the facility failed to provide adequate supervision to prevent accident for 1 (Resident #121) of 6 residents reviewed at risk for falls, resulting in an immediate jeopardy on [DATE] at 12:45 A.M., when Resident #121 was left unattended after being observed in a restless state, resulting in a unwitnessed fall, where she sustained multiple facial fractures and 2 days later died in the hospital due to complications from the fall. […]

• Immediate jeopardy, isolatedF678Apr 20, 2021

  This citation refers to intake MI# 221 Based on interview and record review, the facility failed to thoroughly assess for signs of life (respirations and pulse) and provide life sustaining Cardiopulmonary Resuscitation (CPR) for a full code resident in 1 of 1 sampled resident (Resident #2) reviewed for CPR, from a total sample of 12 residents, resulting in an Immediate Jeopardy when on [DATE] at approximately 6:00 pm, Resident #2 who had elected to be a full code, was found by RN A to be unresponsive, with no pulse, no respirations, and no CPR was initiated. Resident #2 was eventually transferred to the hospital where he was diagnosed with [CONDITION(S)] and expired with acute [CONDITION(S)] as his cause of death. […]

• Actual harm, isolatedF686Apr 9, 2025

  This citation pertains to intake MI00151467. Based on interview and record review the facility failed to implement interventions, treatment, and monitoring for the prevention of pressure ulcers, prevent the development of pressure ulcers, implement monitoring to prevent the worsening of pressure ulcers, and implement treatment(s) to promote healing of pressure ulcers in 1 of 3 residents (Resident #3) reviewed for pressure ulcers, resulting in Resident #3 developing an unstageable pressure ulcer on the sacrum (tailbone) and an unstageable pressure ulcer on the right ear requiring hospitalization for a wound infection that lead to osteomyelitis (bone infection), gangrene (death of body tissue due to lack of blood flow or a serious bacterial infection) and ultimately the need for surgical… […]

• Actual harm, isolatedF684Oct 25, 2023

  This citation has 2 DPS statements, #1 and #2. DPS #1 Based on interview and record review, the facility failed to maintain professional standards when responding to an acute change in condition in 1 of 19 residents (Resident #54 ) reviewed for quality of care, when facility staff failed to ensure a physician was notified of Resident #54's extreme elevation in heart rate (pulse) and respirations, and adequately monitor and assess Resident #54 for further decline in health status, resulting in a delay in treatment and ultimately Resident #54 being found unresponsive, without an audible BP (blood pressure) or palpable pulse, and was transferred to the hospital via EMS (emergency medical services), where she later died . […]

• Actual harm, isolatedF887Oct 25, 2023

  Based on interview and record review, the facility failed to ensure COVID-19 immunization were offered to 2 (Resident #54 and #6) out of 5 residents, reviewed for COVID-19 immunizations, resulting in the increased likelihood of severe infection and complications/death related to COVID-19. Findings include: In an interview on [DATE] at 12:33 PM, NHA reported that the facility currently had 18 residents that were positive for COVID-19, and in droplet isolation. NHA reported that a COVID-19 outbreak began on [DATE], and a total of 56 residents have tested positive since then, with the most recent on [DATE]. NHA reported that two residents have died from COVID-19, Resident #54 and #6. […]