The Laurels of Mt. Pleasant

In the surveyor’s words

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

• Actual harm, isolatedF686Jun 15, 2022

  Based on observation, interview and record review, the facility failed to implement measures to improve/prevent the development of pressure ulcers and follow best infection control practices for 1 (Resident #10), resulting in the development and worsening of pressure ulcers and infections. Findings include: Review of a Face Sheet revealed R10 is a [AGE] year-old male who admitted to the facility on [DATE] with pertinent diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the Minimum Data Set, dated dated dated [DATE] revealed R10 is moderately cognitively impaired and requires extensive assistance of two staff for bed mobility and totally dependent on two staff for transfers. […]

• Actual harm, isolatedF656May 23, 2022

  This citation pertains to intake number MI 325. Based on interview and record review the facility failed to implement interventions to increase supervision and assistance to prevent falls for 1 Resident (R1) of 3 resident reviewed for falls, resulting in R1 having a fall resulting in a laceration and ongoing falls. Findings included: Review of R1's face sheet dated, 5/17/22 revealed she was an [AGE] year-old female and was last admitted to the facility on [DATE]. R1 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of R1's Minimum Data Set (MDS), a nursing assessment tool, dated 4/20/22 revealed she had a Brief Interview of Mental Status (BIMS) score of 6/15 (severely impaired cognition). […]

• Actual harm, isolatedF689May 23, 2022

  This citation pertains to intake number MI 325. Based on interview and record review the facility failed to prevent falls for 1 Resident (R1) of 3 resident reviewed for falls, resulting in R1 having a fall resulting in a laceration and ongoing falls. Findings included: Review of R1's face sheet dated, 5/17/22 revealed she was an [AGE] year-old female and was last admitted to the facility on [DATE]. R1 had diagnoses that included: unspecified dementia without behavioral disturbance, muscle weakness, difficulty in walking, and unspecified fall, subsequent encounter. Review of R1's Minimum Data Set (MDS), a nursing assessment tool, dated 4/20/22 revealed she had a Brief Interview of Mental Status (BIMS) score of 6/15 (severely impaired cognition). […]

• No harm, potential for more than minimal, widespreadF812Jun 15, 2022

  Based on observation, and interview, the facility failed to maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting all residents who receive meal services out of the facility's total census of 74 residents. Findings include: 1. On 6/13/22 at 11:09 AM, the kitchen's steam table was observed leaking onto the floor from its lower rear right-hand corner creating a puddle approximately seven inches wide and 15 inches in length. On 6/13/22 at 11:10 AM, upon interview with the Dietary aide, staff B, on the current state of the steam table they stated, it's older, but I didn't know it was leaking. […]

• No harm, potential for more than minimal, patternF812Jul 22, 2026

  Based on observation, interview and record review, the facility failed to ensure proper food safety handling measures, resulting in the potential to spread food borne illness among residents that consume food from the kitchen. Findings include: On 07/20/2026 at 11:10 AM, Dietary [NAME] (DC) D was observed walking into the walk-in cooler, walking out with a plastic container of ham, and then proceeding to remove portions of the ham with bare hands and placing it in the food processor. When asked, DC D indicated that they would not normally handle the ready-to-eat ham with bare hands. On 07/20/2026 at 11:11 AM, during interview with Kitchen Manager (KM) E, KM E confirmed dietary staff are required to wear gloves when handling ready-to-eat foods with their hands. […]