Inspection Reports for
Care Center of Laurel
935 West Drive, Laurel, MS, 39440
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Inspection Report — Aug 7, 2025
Routine CMS
Date: Aug 7, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident trust fund refunds, resident environment, accurate resident assessments, comprehensive care plans, and food safety standards.
Findings
The facility was found deficient in refunding resident trust account funds timely after death, maintaining a homelike environment due to a persistent loud door noise, ensuring accurate Minimum Data Set (MDS) assessments, developing comprehensive care plans for residents, and properly storing and labeling food items with consistent temperature documentation.
Deficiencies (5)
F 0569: The facility failed to refund a resident's trust account funds to the family within 30 days after the resident's death, with the refund occurring more than 90 days later.
F 0584: The facility failed to maintain a homelike environment by not addressing a persistent loud squealing noise from a malfunctioning resident room door for multiple days during the survey.
F 0641: The facility failed to ensure the Minimum Data Set (MDS) accurately reflected a resident's active diagnosis of Atrial Fibrillation and failed to complete entry and discharge MDS assessments for another resident.
F 0656: The facility failed to develop comprehensive care plans for four residents, omitting interventions related to anticoagulant therapy, bowel and bladder care, and indwelling urinary catheter management.
F 0812: The facility failed to store, label, and date food items in a sanitary manner and failed to consistently document tray line temperatures during kitchen observations.
Report Facts
Resident trust account balance: 2
Missing temperature documentation days: 6
Number of residents sampled: 19
Number of residents with deficient care plans: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Home Administrator (NHA) | Interviewed regarding trust fund refund process and awareness of refund requirements | |
| Director of Nursing (DON) | Interviewed regarding MDS accuracy, care plan development, and staff notification of maintenance issues | |
| Dietary Manager (DM) | Interviewed regarding food storage and temperature documentation | |
| Certified Nurse Aides (CNAs) #1 and #2 | Interviewed about awareness of door noise issue | |
| Licensed Practical Nurse (LPN) #1 | Interviewed about door noise and maintenance reporting | |
| Maintenance Director | Interviewed about door noise and maintenance procedures | |
| Cook | Interviewed about tray line temperature checks and documentation |
Inspection Report — Mar 21, 2024
Routine CMS
Date: Mar 21, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity, environment, care planning, personal hygiene, incontinent care, feeding tube care, and bedrail use at the Care Center of Laurel.
Findings
The facility was found deficient in multiple areas including failure to promote resident dignity by requiring bedside commodes due to broken toilets, failure to provide hot water to residents, incomplete care plans for residents with feeding tubes and bedrails, inadequate personal hygiene care, improper incontinent care, failure to maintain proper head-of-bed elevation for a feeding tube resident, and inadequate assessment and consent for bedrail use.
Deficiencies (7)
F 0550: The facility failed to promote residents' dignity by requiring two residents to use bedside commodes due to broken toilets, causing discomfort and lack of privacy.
F 0584: The facility failed to provide hot water in the shower room and bathrooms for four residents on the Primary Care Unit.
F 0656: The facility failed to implement comprehensive care plans for a resident with a feeding tube and for a resident with full length bedrails.
F 0677: The facility failed to clean, cut, and file fingernails for a resident requiring assistance with personal hygiene.
F 0690: The facility failed to provide incontinent care properly by not cleansing the penis of a resident after an incontinent episode.
F 0693: The facility failed to ensure the head of the bed was properly elevated for a resident with a feeding tube at high risk for aspiration.
F 0700: The facility failed to adequately assess, attempt alternatives, and properly maintain full length bedrails for a resident, including lack of updated consent and risk assessment.
Report Facts
Residents affected: 2
Residents affected: 4
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #7 | Certified Nursing Aide | Confirmed toilet issues and use of bedside commodes for residents #29 and #51 |
| Maintenance Director | Installed new toilet and hot water heater; unaware of ongoing issues | |
| Director of Nursing | DON | Acknowledged issues with toilet and care plan implementation; expected staff compliance |
| Administrator | Aware of toilet and hot water issues; committed to repairs | |
| CNA #9 | Certified Nursing Assistant | Lowered head of bed for Resident #26 against care plan; failed to cleanse penis during incontinent care |
| LPN #4 | Licensed Practical Nurse | Expected staff to follow care plan for Resident #26 and unaware of bedrails for Resident #66 |
| CNA #3 | Certified Nurse Aide | Confirmed Resident #55 had long, dirty nails and CNAs were not allowed to trim nails |
| LPN #2 | Licensed Practical Nurse | Explained nail care restrictions and confirmed Resident #55's nails were not recently clipped |
| RN #2 | Registered Nurse | Part-time weekend nurse who assessed nails but did not clip Resident #55's nails regularly |
| CNA #4 | Certified Nursing Assistant | Confirmed Resident #66 had full length bedrails due to falls and crawling out of bed |
Inspection Report — Jul 26, 2023
Complaint Investigation CMS
Date: Jul 26, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to notify the physician of feeding tube complications for Resident #1.
Complaint Details
The complaint investigation found that the facility did not notify the physician of feeding tube complications for Resident #1. The issue was substantiated with interviews confirming nursing staff failed to notify the physician as ordered.
Findings
The facility failed to notify the physician of feeding tube residuals greater than 100 ml for Resident #1 as ordered. Interviews and record reviews confirmed that nursing staff did not follow physician orders or the care plan to notify the physician, although the resident was not in acute distress.
Deficiencies (2)
F 0580: The facility failed to notify the physician of feeding tube residuals greater than 100 ml for Resident #1 as required by physician orders. Nursing staff did not document notifying the physician despite the resident having a gastrostomy tube.
F 0656: The facility failed to implement the care plan related to notifying the physician of feeding tube complications for Resident #1. Nursing staff did not follow the care plan or physician orders to notify the physician of residuals greater than 100 ml.
Report Facts
Feeding tube residual volume: 100
Residents reviewed with feeding tubes: 2
Resident care plans reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Day Shift Supervisor | Confirmed not notifying physician of feeding tube residual on 7/2/23 |
| LPN #1 | Did not follow physician orders to notify MD of feeding tube residual on 7/2/23 | |
| Director of Nursing | Director of Nursing | Stated expectation that nurses follow physician orders and care plans |
| MD | Medical Doctor | Confirmed nurses did not notify him of feeding tube residual on 7/2/23 |
| RN #2 | Reported care plans are developed and individualized to ensure consistency |
Inspection Report — Jan 6, 2022
Routine CMS
Date: Jan 6, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, infection control, and safety in the nursing home.
Findings
The facility was found deficient in completing required Level II PASARR evaluations, revising care plans to reflect residents' continence status, providing adequate supervision during smoking, proper incontinent care techniques, and infection prevention practices. Several residents were affected by these deficiencies, with minimal harm or potential for harm noted.
Deficiencies (5)
F 0644: The facility failed to complete a Level II PASARR evaluation for a resident with a new major mental illness diagnosis, Resident #28.
F 0657: The facility failed to revise a comprehensive care plan to accurately reflect Resident #42's continence status, despite incontinent episodes.
F 0689: The facility failed to provide adequate supervision during smoking for residents, leaving them unattended and at risk of accidents.
F 0690: The facility failed to provide incontinent care using correct technique for Resident #42, including improper wiping and reuse of wipes.
F 0880: The facility failed to prevent possible infection spread during incontinent care for Residents #49 and #21 due to improper handling of contaminated items and failure to change gloves and wash hands.
Report Facts
Residents reviewed for PASARR completion: 3
Care plans reviewed: 23
Residents smoking observed: 5
Incontinent care observations: 5
Residents reviewed for infection prevention: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding PASARR evaluation and care plan revisions. | |
| Registered Nurse #1 | Confirmed failure to revise care plan for Resident #42. | |
| CNA #1 | Certified Nursing Assistant | Failed to provide proper incontinent care for Resident #42. |
| RN #2 | Registered Nurse | Improperly handled contaminated bag during care of Resident #49. |
| CNA #2 | Certified Nursing Assistant | Failed to change gloves and wash hands during care of Resident #21. |
| LPN #1 | Licensed Practical Nurse/Infection Control Nurse | Confirmed infection control breaches and proper procedures. |
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