The Laurels of Summit Ridge

In the surveyor’s words

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

• Actual harm, isolatedF689Jul 2, 2025

  Based on record review, staff, family, and Nurse Practitioner (NP) interviews, the facility failed to implement effective interventions to prevent a resident (Resident #1) with right side hemiplegia (paralysis on the right side of the body) who took Plavix (antiplatelet medication) and aspirin (antiplatelet medication) from repeatedly falling from an air mattress and sustaining head injuries. Resident #1 sustained falls from her air mattress on 5/29/25, 6/10/25, and 6/13/25. After her fall on 5/29/25 Resident #1 had a raised lump and bruising to her head requiring her to be transferred to the emergency room (ER) for evaluation. After her third fall from the air mattress on 6/13/25, Resident #1 sustained another head injury which included a 3 centimeter (cm) laceration and hematoma. […]

• No harm, potential for more than minimal, patternF812Jul 2, 2026

  Based on observation and staff interviews, the facility failed to remove expired leftover food and label and date leftover opened foods stored for use in 1 of 1 walk-in refrigerator. The facility failed to discard expired food items stored in 1 of 1 nourishment refrigerator (200 hall). These practices had the potential to affect food served to residents. Findings included: a. During an observation and interview on 6/29/26 at 9:08 AM with the [NAME] in the walk-in refrigerator, there was a 1/2 of an approximately 3 pound (lb) fully cooked turkey breast dated 6/04/26. The [NAME] was unable to state if this was the date the turkey breast had been opened or date expired but stated it was expired either way. […]

• No harm, potential for more than minimal, patternF558May 15, 2025

  Based on record review, observations, and resident and staff interviews, the facility failed to maximize residents' independence with transfers and bed mobility by not providing assist bars or side rails for 2 of 4 residents reviewed for accommodation of needs (Resident #43 and Resident #28). The findings included: 1. Resident #43 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease, cervical and vertebral disc degeneration, spinal fusion, and generalized muscle weakness. […]

• No harm, potential for more than minimal, patternF812May 15, 2025

  Based on observations and interviews with staff, the facility failed to date leftover food stored for use in the walk-in refrigerator. The facility also failed to maintain the walk-in refrigerator cooling unit pipe from dripping water onto the wall and floor and maintain the cooling unit pipe and walls of the walk-in refrigerator free from substance build-up. This was for 1 of 2 walk-in refrigerators observed (walk-in refrigerator #2). Findings included An observation made in the kitchen's walk-in refrigerator #2 on 5/12/25 at 10:37 AM with the [NAME] revealed 2 opened and undated bags of shredded cheese located on the second shelf of the food storage rack. A pipe located behind the cooling unit was slowly dripping water onto the floor of the refrigerator. […]

• No harm, potential for more than minimal, patternF758Mar 21, 2024

  Based on record review, staff and Medical Director (MD) interviews the facility failed to follow a physician's order to discontinue a psychotropic medication that resulted in the resident continuing to receive the medication for 1 of 5 residents (Resident #39) reviewed for unnecessary medications. Findings include Resident #39 was admitted to the facility on [DATE] with diagnoses including insomnia and anxiety. A review of the Resident #39's physician orders found trazadone 25 milligrams (mg) once daily dated ordered on 5/11/23. The annual Minimum Data Set (MDS) dated [DATE] revealed Resident #39 was cognitively intact and was coded for receiving psychotropic medication all 7 days during the lookback period. […]