Carolina Reserve of Laurel Park

The facility failed to ensure the implementation of a physician's order for compression stockings for 4 of 5 sampled residents. Specifically, for Resident #5, the facility did not obtain necessary leg measurements or order the stockings despite a physician's order dated 06/03/25, resulting in the resident not receiving the prescribed treatment.

The facility failed to ensure at least one staff person on the premises at all times had completed CPR and choking management training within the last 24 months. Specifically, three staff members working the 11:00 pm to 7:00 am shift lacked valid documentation or had expired certifications.

The facility failed to ensure at least one staff person on the premises at all times had completed CPR and choking management training within the last 24 months. Specifically, three sampled staff members working the 11:00 pm to 7:00 am shift lacked documentation of valid CPR certification.

The facility failed to ensure that appropriate foods and beverages were offered or made available to all residents as snacks between each meal for a total of three snacks per day. Interviews with residents revealed that many did not receive snacks in their rooms, and some reported not seeing snacks for months. Observations confirmed that while snack items were available in the kitchen and dining room, staff were not consistently delivering snacks to residents.

The facility failed to notify the prescribing physician when laboratory tests, specifically blood for hematology and stool samples for occult blood, were not completed timely as ordered. This failure to ensure follow-up for acute health care needs resulted in a resident's hospital admission and subsequent death.

The facility failed to notify the prescribing physician when laboratory tests were not completed timely as ordered for one resident. This failure to ensure follow-up on physician orders resulted in the resident's hospital admission and subsequent death.

The facility failed to ensure that medications were administered according to physician orders. Specifically, for 6 of 7 sampled residents, 22 different medications were not administered as prescribed, including failure to follow orders for discontinuing medications and adjusting dosages based on vital signs.