The Laurenwood Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at The Laurenwood Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Nov 10, 2022

  Based on observations, interviews and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment for one of one facility reviewed for infection control. The facility failed to identify the source and implement measures timely to respond to Legionella after a resident (Resident #1) was diagnosed on [DATE] with the disease while at the hospital. The facility completed testing of the water on [DATE] and received information on [DATE] that the facility had three areas positive for legionella. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 4:35 pm. […]

• Immediate jeopardy, isolatedF689Jan 27, 2025

  Based on observations, record reviews and interviews, the facility failed to ensure the resident received adequate supervision to prevent accidents for one (Resident #1) resident of three residents reviewed for elopement. The facility failed to ensure Resident #1 was adequately supervised to prevent him from leaving the facility unsupervised on 01/13/2025. Resident #1 had unspecified dementia, other lack of coordination and wore a wander guard. Resident #1 eloped from the facility without anyone noticing him or hearing the wander guard alarm system go off. Resident #1 was located between the facility's white fence and the home next door approximately 10-15 feet from the facility's nearest exit door. The noncompliance was identified as PNC. […]

• Immediate jeopardy, isolatedF600Dec 30, 2024

  Based on observations, interviews, and record reviews, the facility failed to ensure resident was free from abuse and neglect for 1(Resident # 2) of 10 residents reviewed for abuse and neglect. 1. The facility failed to protect Resident # 2 from physical abuse by CNA F. Resident #2 was aggressively respositioned and hit twice in the face with an opened hand and closed fist by CNA F. Resident #2 grimaced after being hit twice in the face by CNA F. This failure could place residents at risk of abuse, injury, and emotional distress. The noncompliance was identified at PNC. The noncompliance began on 5/15/2024 and ended on 5/15/2024. CNA F was arrested by law enforcement and terminated immediately. […]

• Immediate jeopardy, isolatedF689Dec 30, 2024

  Based on observations, record reviews and interviews, the facility failed to ensure the resident environment remains as free of accident hazards as is possible and that residents received adequate supervision to prevent accidents for one (Resident #1) resident of three residents reviewed for elopement. 1. The facility failed to ensure Resident #1 was adequately supervised to prevent her from leaving the facility unsupervised. Resident #1 had severely cognitive impairment and lacked safety awareness. Resident #1 eloped from the facility rolling in her wheelchair across a four-lane busy residential street arriving at the fire station across the street 50 yards away. […]

• No harm, potential for more than minimal, patternF628Jun 4, 2026

  Based on interview and record review, the facility failed to notify the resident and/or resident's representative(s) of the transfer or discharge and the reasons for the move in writing and in a language and manner they understand and send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman for 3 of 6 residents (Resident #7, Resident #8, and Resident #77) reviewed for discharge planning. The facility failed to notify the residents or the residents' representative or POA of the transfer or discharge with the reasons for the move in writing in a language and manner they understand for Resident #7, Resident #8, and Resident #77.The facility failed to send a copy of the notice of transfer or discharge to the representative of the Office of the State LTC… […]