The Laurels of Pender

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF761Jan 15, 2026

  Based on observations, manufacturer's instructions, and staff interviews, the facility failed to record an opened date on multi-dose insulin pen injectors and an insulin vial for 3 of 4 medication carts that were reviewed for medication storage (100 and 400 hall medication carts). Findings included: a) An observation of the 400-hall medication cart on 01/14/26 at 8:20 AM with Medication Aide #3 revealed the follow medications: Humalog prefilled insulin pen was opened with no opened dateLantus prefilled insulin pen was opened with no opened date. The manufacturer's instructions for both the Humalog and Lantus insulin pens read to discard after 28 days once opened. […]

• No harm, potential for more than minimal, patternF812Jan 15, 2026

  Based on observations and staff interviews, the facility failed to label and date opened packages of food in 2 of 2 freezers (the front freezer and the outside freezer), label and date opened packages of food in 1 of 1 dry goods storage room, and discard expired foods stored for use in 2 of 2 nourishment room refrigerators (100 and 400 hall nourishment rooms). This deficient practice had the potential to affect the food served to the residents.The findings included:An initial tour of the kitchen was conducted on 1/12/26 at 9:25 AM in the presence of the Dietary Manager.a). […]

• No harm, potential for more than minimal, isolatedF552Jan 15, 2026

  Based on record review, Nurse Practitioner and staff interviews, the facility failed to obtain and document consent for treatment with psychotropic medications and review with the resident or resident representative in advance of the risks versus benefits of psychotropic medications (any medication that affects behavior, mood, thoughts, or perception) prior to administration of psychotropic medications for 1 of 5 residents reviewed for unnecessary medications (Resident #98). Findings included: Resident #98 was admitted to the facility on [DATE] with diagnoses that included bipolar disorder, dementia and anxiety. […]

• No harm, potential for more than minimal, isolatedF684Jan 15, 2026

  Based on observation, record review, and staff, and the Medical Director's interview, the facility failed to follow the physician's order for the care of a surgical wound for 1 of 2 residents reviewed for wound care (Resident #33).Findings included: The hospital Discharge summary dated [DATE] for Resident #33 revealed; Aquacel (a wound dressing that promotes a moist healing environment) to remain in place to the left surgical wound for seven days and replace with new Aquacel. Resident #33 was admitted to the facility on [DATE] with diagnoses including a left femur fracture with surgical repair. A physician's order dated 1/1/26 entered by the Wound Nurse for Resident #33 revealed to cleanse the wound to the left lateral thigh with generic wound cleanser. […]

• No harm, potential for more than minimal, isolatedF698Jan 15, 2026

  Based on observations, record review, resident and staff and Nurse Practitioner interviews, the facility failed to obtain orders to assess and manage a new arterial venous (A/V) fistula (A surgical connection of an artery to a vein, usually in the arm, to create a long-lasting access point for dialysis needles) that was maturing for 1 of 1 resident reviewed for dialysis (Resident #7). Findings included: A history and physical assessment from the hospital dated 12/08/25 revealed Resident #7 was admitted to the hospital with possible gastrointestinal bleed. […]