Laurie Care Center

Inspectors wroteBased on interview, and record review, facility staff failed to maintain professional standards of practice when staff did not complete neurological assessments after unwitnessed falls for seven residents (Resident #13, #19, #21, #23, #28, #35 and #38) of seven sampled residents. The facility census was 41. 1. Review of the facility's policy titled, Assessing Falls, revised 02/24, showed staff are directed as follows: -If a resident has just fallen, or is found on the floor without a witness to the event, evaluate for possible injuries to resident; -Perform neuro checks if indicated: -Resident states head was struck during fall; -If any signs or symptoms present that may indicate a head injury such as pain, bleeding, changes in mental status, or body language indicators. Review of the facility's Post Fall 72-Hour Monitoring Report, showed staff are directed to: [...]

Inspectors wroteBased on observation, interview and record review, the facility staff failed to serve food in accordance with the nutritionally calculated recipes and menus to residents who received ground and pureed diets. The facility census was 41. 1. Review of the facility's Kitchen Weights and Measures policy, revised April 2007, showed food services staff will be trained in proper use of cooking and serving measurements to maintain portion control. Review showed serving utensils used will be consistent with choice of metric or U.S. measure used. Review of the facility's Standardized Recipes policy, revised April 2007, showed standardized recipes shall be developed and used in the preparation of foods. 2. Review of the facility's recipe for ground white chicken chili showed the recipe directed staff to serve eight ounce portions. [...]

Inspectors wroteBased on observation, interview and record review, the facility staff failed to store food in a manner to prevent potential contamination and outdated use. Facility staff failed to perform hand hygiene as often as necessary, using approved techniques, to prevent cross-contamination. Facility staff also failed to properly wash dishes to prevent cross-contamination and the growth of foodborne pathogens. Facility staff failed to maintain an air gap in one ice machine drain. These failures have the potential to affect all residents. The facility census was 41. 1. Review of the facility's Refrigerators and Freezer policy dated, November 2022, showed: -Information regarding acceptable storage periods for perishable foods are kept in the supervisor's office. A condensed version is posted by each refrigerator and freezer for reference; [...]

Inspectors wroteBased on interview and record review, facility staff failed to provide written information to the resident and/or the resident's representative of the bed hold policy at the time of transfer to the hospital for three (Resident #4, #19, and #21) out of three sampled residents. The facility's census was 41. 1. Review of the facility's Bed Hold/Retention Policy, undated, showed the record did not direct staff to provide a bed hold notification, explains the duration of bed-hold, if any, and the reserve bed payment policy. 2. Review of Resident #4's medical record showed the resident discharged from the facility to the hospital on [DATE]. The medical record did not contain documentation staff issued a bed hold upon discharge with the resident or the resident's responsible party. 3. [...]

Inspectors wroteBased on record review and interview, facility staff failed to complete a Comprehensive Significant Change Minimum Data Set (MDS), a federally mandated resident assessment tool, for three residents (Resident #12, #28, and #37) out of five sampled residents who had either improvements and/or declines in condition. The facility census was 41. 1. Review of the Resident Assessment Instrument (RAI) manual version 3.0, dated October 2024, Omnibus Budget Reconcilliation Act (OBRA)-required Assessment Summary showed assessment time frames as follows: [...]

Inspectors wroteBased on interviews and record review, facility staff failed to complete a baseline care plan within 48 hours of admission and failed to provide the resident and/or the resident's representative with a copy of the baseline care plan for two residents (Resident #3, and #192) out of two sampled residents. The facility's census was 41. 1. Review of the facility's policy titled, Care Plans-Baseline, dated 12/2016, showed: -To assure the resident's immediate care needs are met and maintained, a baseline care plan will be developed within 48 hours of the resident's admission; -The baseline care plan will be used until the staff can conduct the comprehensive assessment and develop an interdisciplinary person-centered care plan; [...]

Inspectors wroteBased on observation, interview, and record review, facility staff failed to store medications in a safe and effective manner, when staff failed to discard expired medications from one of one sampled medication storage room, and failed to remove and discard expired and improperly labeled medications from one of two sampled medication carts. The facility's census was 41. 1. Review of the facility's policy titled, Insulin Administration, dated 09/2014, showed if opening a new vial, record expiration date and time on the vial (follow manufacturer recommendations for expiration after opening). Review of the facility's policy titled, Storage of Medications, dated 04/2019, showed discontinued, outdated, or deteriorated drugs or biologicals are returned to the dispensing pharmacy or destroyed. 2. Observation on 04/21/25 at 10:35 A.M., showed the medication storage room contained: [...]

Inspectors wroteBased on record review and interview, facility staff did not document a thorough facility-wide assessment to include specific staffing needs for each resident unit in the facility or document who is required to complete the assessed competencies and skill sets necessary to provide the level and types of care needed for the resident population. Facility census was 41. 1. Review of the facility's Facility Assessment policy, dated October 2018, showed the assessment should include a breakdown of the training, licensure, education, skill level and measures of competency for all personnel. The policy did not contain direction for documentation or assessment of staffing needs of each unit. Review of the facility assessment, dated 02/04/25 showed: -Sixty full time staff, seven part time staff, three as needed staff for a total of seventy staff; -Dayshift includes: [...]

Inspectors wroteBased on interview and record review, facility staff failed to ensure one resident (Resident #1) remained free from sexual abuse when Resident #2 touched Resident #1's chest without Resident #1's consent. The facility census was 48. 1. Review of the facility's policy, Abuse Prevention Program, revised December 2016, showed all residents have the right to be free from abuse, neglect, exploitation, and misappropriation of resident property. This includes but not limited to freedom from corporal punishment, involuntary seclusion, verbal, mental, sexual or physical abuse, and physical or chemical restraint not required to treat the resident's symptoms. 2. [...]

Inspectors wroteBased on observation, interview and record review, the facility staff failed to store food in a manner to protect from potential contamination and out-dated use. The facility census was 39. 1. Review of the facility's Food Storage (Dry, Refrigerated, and Frozen) policy, dated 2020, showed: -Food shall be stored on shelves in a clean, dry area free from contaminants. Food shall be stored at appropriate temperatures and using appropriate methods to ensure the highest level of food safety. -All food items will be labeled. The label must include the name of the food and the date by which it should be sold, consumed, or discarded. -Discard food that has passed the expiration date, and discard food that has been prepared in the facility after seven days of storing under proper refrigeration. [...]

Inspectors wroteBased on interview and record review, facility staff failed to implement an infection surveillance program that included tracking of organisms responsible for infections and failed to review their Infection Prevention and Control Program (IPCP) on an annual basis. The facility census was 39. 1. Review of the facility's Surveillance for Infections policy, dated September 2017, showed: -The purpose of the surveillance of infections is to identify both individual cases and trends of epidemiologically significant organisms and Healthcare-Associated infections, to guide appropriate interventions and to prevent future infections. Review of the facility's undated Infection Control and Prevention Program Evaluation Policy showed: [...]

Inspectors wroteBased on interview and record review, facility staff failed to maintain evidence demonstrating the results of all grievances for a period of no less than three years. facility census was 39. 1. Review of the facility's Grievance/Complaint filing policy, revised April 2017, showed staff were directed as follows: - All grievances, complaints or recommendations stemming from resident or family groups concerning issues of resident care in the facility will be considered. Actions on such issues will be responded to in writing, including a rationale for the response; - Upon receipt of a grievance and/or complaint, the Grievance Officer will review and investigate the allegations a submit a written report of such findings to the Administrator within five working days of receiving the grievance and/or complaint; [...]