Laurie Ann Nursing Home

Based on observation, staff interviews and facility policy review, the facility failed to ensure the garbage and refuse was maintained in a sanitary condition. This had the potential to affect all 56 residents residing in the facility. Findings include: Observation of the facilities outside dumpster area with Dietary Supervisor (DS) #224 on 06/16/25 at 7:26 A.M. revealed there were two dumpsters in the area. The dumpster on the right-hand side had both lids closed on top and both sliding doors on each side were closed. The dumpster on the left side had both lids closed and the sliding door on the right side of the unit was closed. On the left side of the dumpster, there was an opening in the dumpster where the sliding door should have been with the black sliding door located on the ground under the back left-hand corner of the dumpster. Located on the ground around the dumpsters was a buildup of debris which included five white plastic surgical gloves, one clear plastic cup, one empty pudding cup container, two medicine cups, multiple pieces of plastic wrap of various sizes, one…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and facility policy review, the facility to ensure Turbersol serum was dated upon opening per manufacturers instruction for efficacy. This had the potential to affect 15 (Residents #15, #19, #21, #51, #52, #106, #107, #156, #157, #206, #207, #208, #209, #256 and #257) identified as new admissions on the 100 unit in the last 30 days. The facility also did not ensure pills were not left at the bedside for Resident #35. This had the potential to affect seven (Residents #11, #24, #43, #106, #157, #208, and #257) who were identified as cognitively impaired and independently mobile on the 100 unit. The facility census was 56. Findings include: 1. On 06/16/25 at 8:20 A.M. an inspection of the medication storage room on the 100 unit revealed a one milliliter vial of Turbersol (a serum used to aid in the diagnosis of tuberculosis) that was opened and undated. The Director of Nursing (DON) verified the opened vial of Tubersol as being undated at the time of the observation. A…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff and family interviews, record review and facility policy review, the facility didn't ensure indwelling urinary catheter bags were timely covered in a dignified manner. This affected one (Resident #8) out of two residents reviewed for dignity and had the potential to affect four additional (Residents #15, #37, #41, and #206) the facility identified as having indwelling urinary catheters. The facility census was 56. Findings include: Review of the medical record for Resident #8 revealed an admission date of 05/19/25 and a readmission date of 06/12/25. Pertinent diagnoses included retention of urine, obstructive and reflux uropathy (blockage in body which makes it difficult or impossible to urinate), disorder of kidney and ureter (small tubes of muscle that transport urine from kidneys to the urinary bladder), and chronic kidney disease. Review of the readmission Minimum Data Set (MDS) assessment revealed it was in process of being completed. Review of the 06/02/25 discharge MDS assessment revealed the staff had assessed Resident #8 as having modified…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, interview and facility policy review, the facility failed to ensure residents' wishes regarding end-of-life measures were signed by the physician. This affected two (Residents #6 and #47) of three residents reviewed for Advanced Directives. The facility census was 56. Findings include: 1. Review of the medical record for Resident #6 revealed an admission date of 01/08/24. Diagnoses included dementia, depression, diabetes and kidney failure. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #6 was severely cognitively impaired. She required set up help for eating, oral and personal hygiene, partial assistance for showering and substantial assistance for toileting. Review of the physicians' orders for June 2025 for Resident #6 revealed an order for Do Not Resuscitate, Comfort Care only, comfort care will be provided, even before a cardiac or respiratory arrest occurs (DNRCC). Review of the Do Not Resuscitate (DNR) form dated 01/08/24 revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record reviews, tray ticket and facility policy reviews, the facility failed to ensure fluid restrictions were followed as ordered for Residents #26 and #158. This affected two (Residents #26 and #158) out of four residents reviewed for nutrition and had the potential to affect one additional (Resident #36) identified by the facility as being on a fluid restriction. Additionally, the facility failed to ensure weekly weights were obtained as ordered for Residents #26. This affected one (Residents #26) out of four residents reviewed for nutrition. The facility census was 56. Findings include: 1. Review of the medical record for Resident #158 revealed an admission date of 05/12/25 and a reentry date of 06/07/25. Diagnoses included acute on chronic combined systolic and diastolic heart failure (CHF), Non-ST elevation (NSTEM) myocardial infarction (heart attack), cardiomyopathies (disease of the heart muscle), hypertension (high blood pressure), and hyperlipidemia. Review of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record reviews and facility policy review, the facility failed to ensure respiratory equipment was dated and monitored for routine replacement. This affected two (Residents #41 and #48) of four residents reviewed for respiratory care but had the potential to affect an additional 10 (Residents #2, #7, #9, #12, #20, #33, #34, #43, #157, and #158) the facility identified as using oxygen. The facility census was 56. Findings include: 1. Review of Resident #41's medical record revealed an admission date of 01/29/25 with diagnoses including pneumonia, atrial fibrillation (irregular heart rhythm), anxiety disorder, vascular dementia, acidosis (too much acid in the body fluids), bradycardia (heart beats more slowly than expected), atherosclerotic heart disease, hypertension (high blood pressure), right bundle branch block (an obstacle in the right bundle branch of the heart that makes the heartbeat late and creates an irregular heart beat), and old myocardial infarction (heart attack).…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview and facility policy review, the facility failed to ensure pharmacy recommendations were reviewed and responded to timely by the physician and/or practitioner. This affected two (Residents #17 and #20) of five residents reviewed for unnecessary medications. The facility census was 56. Findings include: 1. Record review revealed Resident #17 was admitted to the facility on [DATE] with diagnoses including acute kidney failure, chronic atrial fibrillation, type two diabetes, hypertension, peripheral vascular disease, lymphedema, benign prostatic hyperplasia, osteoarthritis, hypothyroid, hypomagnesemia, ulcerative colitis, post traumatic disorder, metabolic encephalopathy, major depressive disorder, heart failure, and dementia. Review of the Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #17 had intact cognition and was receiving antidepressant medication, anticoagulant medication, diuretic medication, antiplatelet medication and hypoglycemic…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and facility policy review, the facility failed to ensure medications had the appropriate diagnosis for administration. This affected one (Resident #28) out of five residents reviewed for unnecessary medications. The facility census was 56. Findings include: Review of the medical record for Resident #28 revealed an admission date of 11/21/22. Diagnoses included Parkinson's disease, delusions, kidney disease, diabetes, paranoid schizophrenia and high cholesterol. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #28 was cognitively intact. He required set up help for eating and personal hygiene, supervision for oral hygiene and toileting and partial assistance for showering. Review of the gradual dose reduction (GDR) form dated 02/28/25 revealed a recommendation by Pharmacist #268 to clarify the diagnosis for Namenda, which had been prescribed for paranoid schizophrenia. The recommendation was made to correct the diagnosis to dementia, which…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, interview, facility self-reported incident (SRI) review, and facility policy review, the facility failed to ensure Resident #55 was free from staff-to-resident physical abuse. This affected one resident (#55) of three residents reviewed for abuse. The facility census was 54. Findings include: Review of the medical record for Resident #55 revealed an admission date of 01/26/24 and a discharge date of 10/11/24. Diagnoses included sepsis, muscle weakness, epilepsy, bipolar disorder, anxiety, and paraplegia. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed resident #55 was cognitively intact. He was completely dependent on staff for eating, oral care, personal hygiene, showering, toileting, and dressing. Review of the care plan dated 08/06/24 revealed Resident #55 had inappropriate behaviors such as agitation and combativeness,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, observation, review of Centers for Medicare and Medicaid (CMS) Quality, Safety, and Oversight (QSO) Memo 24-08-NH, staff interview, and policy review, the facility failed to ensure residents with chronic wounds and those with indwelling medical devices were placed in enhanced barrier precautions (EBP) as required. This affected four residents (#8, #10, #26, and #39) of five residents reviewed for infection control. The facility census was 50. Findings include: On 06/17/24 from 8:50 A.M. to 9:00 A.M., observations during tour of the facility revealed there were no residents in EBP. There were several residents throughout the facility that had indwelling urinary catheters or wounds that were not in EBP as required. 1. A review of records for Resident #8 revealed an admission date of 12/28/22 with diagnoses including obstructive uropathy. The resident had an indwelling urinary catheter. Review of the care plan updated on 05/21/24 revealed Resident #8 was at risk for infection related to the indwelling urinary catheter, and staff was to wear a gown and gloves…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, interview, review of the medication error report review, facility policy review, the facility failed to ensure the proper route of medication administration for Resident #51. This affected one resident (#51) of eight residents reviewed for proper medication administration. The facility census was 50. Findings include: Review of the medical records revealed Resident #51 was admitted to the facility on [DATE] and discharged on 05/20/24. Significant diagnoses included paraplegia, bacteremia, stage IV pressure ulcers (Full thickness tissue loss with exposed bone, tendon or muscle. Slough may be present on some parts of the wound bed. Often include undermining and tunneling.) to the right and left buttocks, diabetes mellitus type II, and infection and inflammatory reaction due to cardiac valve prothesis. Review of the admission Minimum Data Set (MDS) assessment dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review, review of the Ohio Administrative Code (OAC) for Prescription Processes, observation of medication administration and interview the facility failed to ensure nurses followed acceptable standards of practice for obtaining medication orders. This affected two (Residents #45 and #151) of five residents reviewed for medication administration. The facility census was 42. Findings include: 1. Record review for Resident #151 revealed an admission date of 02/18/23 and a physician order dated 02/19/23 for vitamin B12 oral tablet 500 micrograms (mcg) give 500 mcg by mouth one time a day. On 03/01/23 at 8:52 A.M., Registered Nurse (RN) #28 was observed administering medication to Resident #151. While preparing Resident #151's medication for administration RN #28 stated he was unable to locate the appropriate dose of guaifenesin (expectorant) or vitamin B12, stating he would have to administer them later. A request was made for RN #28 to notify the surveyor when the medication was located for observation. 2. Record review for Resident #45 revealed and admission date of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on medical record review and interview, the facility failed to ensure appropriate treatments were applied to a pressure ulcer for one resident (Resident #5) of five residents reviewed for pressure ulcers. The facility census was 42. Findings include: Review of Resident #5's medical record revealed diagnoses included left hip fracture, diabetes mellitus, and macular degeneration. An order dated 02/21/23 indicated the wound bed on the coccyx was to be irrigated with normal saline then covered with calcium alginate (a treatment for wounds) and a foam dressing every day and as necessary. A wound consultant note dated 02/27/23 indicated Resident #5 had a stage three pressure ulcer on the coccyx (full thickness tissue loss without bone, tendon or muscle being exposed). Instructions revealed to continue calcium alginate to aid in autolytic debridement of the wound. On 03/02/23 between 11:00 A.M. and 11:20 A.M., Licensed Practical Nurse (LPN) #22 was observed gathering supplies to complete Resident #5's dressing change to the pressure ulcer on her coccyx. LPN #22 gathered normal…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to thoroughly and consistently record bowel movements for assessment of constipation for Resident #9. This affected one (Resident #9) of 12 residents interviewed regarding constipation. The facility census was 42. Findings include: Review of Resident #9's medical record revealed an admission date of 02/03/23 and diagnoses including right hip fracture, traumatic subarachnoid hemorrhage, arthritis, pain in the right leg and neuropathy. An admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] indicated Resident #9 was able to make herself understood. Resident #9 was dependent for toilet use. A plan of care initiated 02/15/23 indicated Resident #9 had potential for constipation related to decreased mobility and medications. The stated goal was for Resident #9 to have a bowel movement at least every three days. Interventions included observing for and documenting bowel movements, observing for complaints of abdominal discomfort and abdominal distention,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.