Laurels of Defiance the
Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy. Still worth an in-person visit.
based on 138 Google reviews

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What this means for your family
The Laurels of Defiance is highly regarded for its rehabilitation programs and engaging activities department. When touring, we recommend asking specifically about the nurse-to-patient ratios on weekends and how the facility handles concerns regarding staff bedside manner, as these are the most common points of friction mentioned by families.
Google Reviews
Google Reviews
138 reviews analyzed“The Laurels of Defiance receives high praise for its rehabilitation services and dedicated activities department, which residents and families frequently highlight as a major strength. While many families report compassionate care and effective communication, some reviewers have raised concerns regarding inconsistent staffing levels and occasional unprofessional behavior from specific aides. Overall, the facility is often described as a welcoming environment for short-term recovery and long-term support.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Engaging and organized activities department
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
Concerns
- Understaffing leading to slow response times (mentioned by 5 reviewers)
- Inconsistent bedside manner and rudeness from some nursing aides (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
- 2Given the high praise for your therapy department, how do you coordinate those sessions with the daily nursing care schedule to ensure residents aren't overwhelmed?
- 3We understand that staffing can be a challenge in this industry; what specific steps are you taking to ensure that call lights are answered promptly and that residents feel consistently supported?
- 4Some families have mentioned that staff interactions can occasionally feel rushed; how do you train your nursing aides to maintain a patient and compassionate bedside manner during busy shifts?
- 5With your active calendar of events, how do you encourage residents who might be a bit more reserved to participate and stay socially engaged?
- 6Since your CMS staffing rating is a 3 out of 5, could you walk us through how you manage staffing levels during weekends or holidays to maintain the quality of care?
Personalized based on this facility's data
Key Review Excerpts
“The staff is phenomenal - especially the activities director, Dawn. She goes out of her way once a week to set up face-time communication between my mom & myself.”
“The nurses were caring and went above and beyond. I recommend the Laurels.”
“They do need to review the nurses aides though as my own experience was there are some there with little to no compassion.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
4
measures
4
measures
Residents with depression symptoms
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
The Laurels of Defiance has 34 deficiencies across recent surveys, with families filing complaints that led to citations for staff hiring issues, bladder care, and infection control. The most recurring problems involve fire safety systems, medication management, and basic care assistance. While all deficiencies show correction dates, the pattern of repeated issues across multiple surveys in fire safety and pharmacy services suggests ongoing compliance challenges that families should discuss during visits.
Jun 12, 2025Routine6
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Jun 12, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 8, 2023Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Apr 6, 2023Routine16
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Have correct number of accessible exits for each story.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Dec 5, 2019Routine9
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Ownership & Operations
Who Operates This Facility
Laurels of Defiance the
for profit
Chain Affiliation
Ciena Healthcare/laurel Health Care
84 facilities nationwide
Chain avg rating: 2.9/5 · Rank 19 of 84
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
138 reviews from families & visitors
Official Website
Visit laurelsofdefiance.com
Medicare data downloads
Original nursing home datasets
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