Vivo Healthcare Laurellwood

In the surveyor’s words

From the most serious findings on record at Vivo Healthcare Laurellwood, in the surveyor’s own words.

• Actual harm, isolatedF697Sep 13, 2023

  Based on observation, interview, and record review the facility failed to ensure effective pain management was provided consistent with professional standards of practice and the comprehensive person-centered care plan for one resident (#7) out of 14 residents on a pain management program. Findings included: An interview was conducted on 9/11/23 at 11:07 a.m. with Resident #7. Resident #7 was in her bed and stated she was new to the facility, and she will most likely be a permanent resident. Resident #7 was formerly living in an assisted living facility (ALF) prior to multiple surgeries on her right hip secondary to a fall sustained at her former ALF. […]

• No harm, potential for more than minimal, widespreadF812Aug 21, 2025

  Based on observations, record review and interviews, the facility did not ensure food service safety standards were followed in the kitchen and in one of one nourishment rooms.Findings included: On 8/18/25 at 10:04 a.m., a tour of the kitchen was conducted with the Certified Dietary Manager. An observation of the window, above the three-compartment sink, revealed kitchen items were hanging to include pans, pots, and a long grater with a handle. Further observations of the top part of the window, where the kitchen items were hanging, had multiple black particles and debris throughout the surfaces. Another observation of that area revealed a circular kitchen item that had sharp, metal pieces inside and appeared to be for chopping food, which had dust particles throughout the surface. […]

• No harm, potential for more than minimal, patternF584Sep 13, 2023

  Based on observations, interviews, and policy reviews the facility failed to ensure a clean and homelike environment on two units (Unit 1 and Unit 2) out of two units related to cleanliness of resident areas, cluttered halls and dining room, linen supply, and an unkempt courtyard for three days (9/11/23, 9/12/23 and 9/13/23) of three days of the survey. Findings included: An observation was made on 9/11/23 at 6:37 a.m. of the Unit 2 resident hallway and revealed it to be cluttered with medical equipment to include mechanical lifts, wheelchairs, and shower chairs. An observation was made on 9/11/23 at 7:09 a.m. of the linen closest on Unit 1 and Unit 2 having no supply of linen. An observation was made on 9/11/23 at 7:15 a.m. […]

• No harm, potential for more than minimal, patternF689Sep 13, 2023

  Based on observations, interviews, and policy review the facility failed to ensure residents were free from accident hazards related to: 1. hot water temperatures were not maintained at a safe temperature in two community shower sinks (located near room [ROOM NUMBER] and room [ROOM NUMBER]) and two resident bathroom sinks (room [ROOM NUMBER] and room [ROOM NUMBER]), 2. a storage room and supply room being unlocked with multiple housekeeping and nursing supplies, 3. emergency cords missing or unable to be used in three resident bathrooms (Rooms15/16, room [ROOM NUMBER] and room [ROOM NUMBER]), 4. a bathroom light not working in one resident shared bathroom (Rooms 15/16) and 5. […]

• No harm, potential for more than minimal, patternF761Sep 13, 2023

  Based on observation, interview, record review and policy review the facility failed to ensure storage and labeling of drugs and biologicals in accordance with professional standards, and failed to ensure medications were secured and not accessible to residents, visitors and/or unauthorized staff for one medication cart (Station Two) of two medication carts, and for one of one treatment carts located in an unlocked medical supply room for two days ([DATE] and [DATE]) out of three days of the survey. Findings included: An observation was made upon entering the facility on [DATE] at 7:10 a.m. of an unlocked medical supply room opened to a resident hallway. (Photographic Evidence Obtained) There were no staff around this area at this time. […]