The Laurels in Highland Creek

The facility failed to administer medications as ordered for one resident. Specifically, Remeron 30mg was not administered on multiple dates in September 2025 due to the medication not being present on the medication cart. While the medication aide documented pharmacy issues, there was a failure to effectively communicate the missing medication to the Health and Wellness Director for follow-up.

The facility failed to ensure that Resident #7 had a care plan completed within 30 days of admission. Records showed the resident was admitted on 11/13/24, but no care plan was available for review as of 06/30/25.

The facility failed to ensure proper referral and follow-up with a physician for 3 of 9 sampled residents. This constitutes a Type B violation.

The facility failed to comply with requirements regarding the completion of resident assessments within 30 days of admission and annually thereafter. The assessment must include specific functional, psychosocial, and physical information to determine the resident's level of functioning.

The facility failed to comply with requirements regarding the completion of resident assessments within 30 days of admission and annually thereafter. The assessment must include specific functional, psychosocial, and physical information to determine the resident's level of functioning.

The facility failed to provide adequate supervision for two residents based on their assessed needs and care plans. Specifically, one resident with increased aggressive and wandering behaviors and another new admission with exit-seeking behaviors following a head injury were not properly supervised.

The facility failed to provide adequate supervision for two residents based on their assessed needs and care plans. Specifically, one resident with increased aggressive and wandering behaviors and another new admission with exit-seeking behaviors following a head injury were not properly supervised.

The facility failed to provide care and services according to the resident's care plan for Resident #2, who required a slide board for transfers. A staff member attempted a manual transfer without the required equipment, resulting in a nondisplaced fracture of the resident's left humerus. Additionally, the facility failed to maintain an updated care plan in the resident's care plan book.

The facility failed to provide care according to the resident's care plan when a staff member attempted to transfer a resident without using the required slide board. This improper transfer technique resulted in the resident sustaining a closed nondisplaced fracture of the proximal left humerus. Additionally, the facility's care plan book lacked an updated care plan for this resident.