The Laurels of Milford

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF679Aug 21, 2023

  Based on observations, review of staff schedules, review of facility resident census, review of activity calendars, review of activity attendance sheets, policy review, resident and staff interviews, the facility failed to ensure staff was providing scheduled activities during the months of July and August 2023. This affected 81 (Resident #26-#92) of 81 residents residing on the A, B, F G, H and J Units of the facility. The total facility census was 106. Findings include: Review of the activity staff schedule for July 2023 revealed one to three staff were scheduled per day and no staff were scheduled after 4:00 P.M. on Mondays through Fridays. On the weekends staff was limited hours or not at all. On 07/01/23 (Saturday), one staff member was scheduled from 9 A.M. to 2 P.M. […]

• No harm, potential for more than minimal, patternF880Jan 27, 2022

  Based on observation, staff interview, review of facility policy, and review of online resources per the review of online resources per the Center for Medicare and Medicaid Services (CMS) and the Centers for Disease Control (CDC), the facility failed to ensure staff wore eye protection and face masks appropriately to potentially prevent the spread of Coronavirus Disease 2019 (COVID-19). This had the potential to affect 14 (#20, #22, #27, #34, #41, #42, #44, #54, #66, #76, #99, #102, #106 and #125) residents residing on the secured unit who were COVID-19 negative. The census was 125. Findings include: 1. Interview on 01/26/22 at 11:46 A.M. […]

• No harm, potential for more than minimal, isolatedF684Aug 5, 2026

  Based on observation, interview, and record review, the facility failed to provide catheter care as prescribed by the provider. This affected one resident, Resident #11, of four residents reviewed for catheter care. The facility census was 109.Findings include:Review of the medical record revealed Resident #11, was admitted to the facility on [DATE]. Diagnoses include malignant neoplasm of rectosigmoid junction, cellulitis of right lower limb, active primary progressive multiple sclerosis, and type II diabetes mellitus.Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident was cognitively intact with a Brief Interview of Mental Status (BIMS) score of 15. The resident had no behaviors, did not reject care, and did not wander. […]

• No harm, potential for more than minimal, isolatedF760Aug 5, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure residents were free from significant medication errors. This affected one resident, Resident #16, of two residents observed for medication administration. The facility census was 109. Findings include:Review of the medical record revealed Resident #16 was admitted to the facility on [DATE]. Diagnoses include chronic kidney disease, hepatorenal syndrome, cirrhosis of liver, and chronic viral hepatitis.Review of medication orders for Resident #16 revealed an insulin order as follows:insulin lispro; insulin pen; 100 unit/mL; amt: 4 units; SubcutaneousSpecial Instructions: INJECT 4 UNITS SUBCUTANEOUSLY BEFORE MEALS AND AT BEDTIME FOR Diabetes Mellitus (DM)Before Meals and At Bedtime7:00… […]

• No harm, potential for more than minimal, isolatedF550Feb 10, 2026

  Based on medical record review, observation, staff interview, and resident interview, the facility failed to provide resident care in a dignified manner. This affected two (Residents #3 and #41) of three residents reviewed for dignity. The facility census was 132 residents.Findings include:1.Review of the medical record for Resident #41 revealed an admission date of 01/13/26 with diagnoses included anxiety, epilepsy, and anxiety. Review of the Minimum Data Set (MDS) assessment for Resident #41 dated 01/18/26 revealed the resident was cognitively intact and was frequently incontinent of urine. Observation on 01/27/26 at 9:45 A.M. revealed Resident #41 had her call light on. […]