Inspection Reports for Laurens Care Center
304 East Veterans Road, IA, 505541542
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Moderate
Unclassified
Census Over Time
Inspection Report
Plan of Correction
Deficiencies: 0
Nov 25, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction related to the facility's compliance status.
Findings
Based on acceptance of the facility's credible allegation of compliance and plan of correction, the facility will be certified in compliance effective October 9, 2025.
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 2
Oct 8, 2025
Visit Reason
Investigation of self reports and complaints conducted from 10/6/25 to 10/8/25 regarding resident care and medication issues at Laurens Care Center.
Findings
The facility failed to ensure residents' rights to self-determination and freedom from abuse and neglect. Specific incidents involving medication management, resident interactions, and staff responses were documented, showing lapses in care and oversight.
Complaint Details
Investigation was triggered by self reports and complaints (#1790449-I, #1791472-I, #2629625-I and complaint #2625437-C). The complaint was substantiated with findings of deficiencies related to resident rights and abuse.
Severity Breakdown
Level D: 1
Level E: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure residents and/or their representatives had the right to choose a pharmacy for 1 of 3 residents reviewed (Resident #4). | Level D |
| Facility failed to ensure residents were free from abuse for 2 of 3 residents reviewed (Residents #1 and #2). | Level E |
Report Facts
Residents reviewed: 3
Census: 27
Pages faxed: 19
Dates: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Named in relation to medication error finding and family communication |
| Administrator | Administrator | Named in relation to admission paperwork and oversight of medication issues |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Mentioned in relation to processing admission paperwork for VA medications |
| Licensed Practical Nurse | Licensed Practical Nurse (LPN) | Provided information about residents on VA medications |
| Social Services Coordinator | Social Services Coordinator (SSC) | Received phone call regarding VA benefits and medication status |
Inspection Report
Plan of Correction
Deficiencies: 0
Apr 14, 2025
Visit Reason
The document serves as a Plan of Correction following a survey, indicating acceptance of a credible allegation of substantial compliance and certification of the facility in compliance with health requirements effective April 11, 2025.
Findings
The facility was found to be in substantial compliance based on the credible allegation and Plan of Correction submitted, resulting in certification of compliance with health requirements.
Inspection Report
Routine
Census: 26
Deficiencies: 5
Mar 20, 2025
Visit Reason
A recertification survey was conducted from March 17, 2025 to March 20, 2025 to assess compliance with regulatory requirements.
Findings
The facility was found deficient in providing written notice of the bed-hold policy before hospital transfers, developing and implementing comprehensive care plans for residents, and ensuring proper documentation for respiratory care including oxygen use. Deficiencies were noted in care planning for psychotropic medication use and oxygen therapy documentation.
Deficiencies (5)
| Description |
|---|
| Failed to provide written notice of the bed-hold policy to residents and representatives before hospital leave or transfer. |
| Failed to develop and implement a comprehensive care plan for residents, including measurable objectives and timeframes. |
| Care plans lacked identification and management of psychotropic medication use. |
| Failed to ensure care plans were reviewed and revised after each assessment for residents. |
| Failed to ensure proper documentation and implementation of respiratory care, including oxygen use and tracheostomy care. |
Report Facts
Census: 26
Residents reviewed for bed-hold policy: 3
Residents reviewed for comprehensive care plan: 5
Residents reviewed for care plan revision: 11
Residents reviewed for respiratory care: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Stated verbal consent practices for bed holds and confirmed care plan omissions |
| Facility Business Office Manager | Business Office Manager (BOM) | Discussed bed hold policy implementation and consent documentation |
Inspection Report
Complaint Investigation
Deficiencies: 0
Dec 24, 2024
Visit Reason
Investigation of complaint #124063-C conducted on 12/23-24/2024 to review prior citations and investigation findings.
Findings
The investigation revealed that the subject had been previously investigated and cited on a prior survey.
Complaint Details
Complaint #124063-C was investigated and found to have prior citations from a previous survey.
Inspection Report
Plan of Correction
Deficiencies: 0
Apr 10, 2024
Visit Reason
The document serves as a Plan of Correction following a prior inspection, indicating acceptance of the facility's credible allegation of substantial compliance.
Findings
The facility was certified in compliance effective April 10, 2024, based on acceptance of the Plan of Correction and credible allegation of substantial compliance.
Inspection Report
Annual Inspection
Census: 30
Deficiencies: 5
Mar 21, 2024
Visit Reason
The inspection was conducted as part of the facility's annual recertification survey and included an investigation of complaint #119395-C and a facility reported incident #119420-I from March 18 to March 21, 2024.
Findings
The facility was found deficient in providing timely Medicare Non-coverage notices, bed hold policy notices before resident transfers, nurse aide registry verification and retraining, infection prevention and control practices, and dependent adult abuse training. Several residents' records and staff files were reviewed, revealing failures in documentation and policy adherence.
Complaint Details
Complaint #119395-C was investigated and found not substantiated. Facility reported incident #119420-I was also not substantiated.
Deficiencies (5)
| Description |
|---|
| Failure to provide a notice of Medicare Non-coverage 48 hours in advance of services ending and use the correct Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage form. |
| Failure to provide a resident or their responsible party with written notice of bed-hold policy before a resident transfer to a hospital or therapeutic leave. |
| Failure to verify and assure a student certified nursing assistant (CNA) actually became certified and registered before allowing work as a nurse aide. |
| Failure to establish and maintain an infection prevention and control program, including failure to use personal protective equipment (PPE) and perform hand hygiene properly during a Norovirus outbreak. |
| Failure to provide required dependent adult abuse training within 6 months of hire for some staff. |
Report Facts
Census: 30
Residents reviewed: 4
Residents reviewed: 3
Staff CNAs reviewed: 5
Staff CNAs not certified: 1
Written exam attempts: 3
Residents with infection control observations: 3
Staff not completed abuse training on time: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff G | Student Certified Nursing Assistant (CNA) | Named in deficiency for not being on the nurse aide registry and failing CNA competency exams. |
| Staff A | Certified Nurses Aide (CNA) | Observed failing to use PPE properly during infection control observations. |
| Staff B | Licensed Practical Nurse (LPN) | Reported residents required contact isolation due to suspected norovirus. |
| Staff C | Verified and acknowledged late delivery of Medicare Non-coverage notices. | |
| Director of Nursing | Director of Nursing (DON) | Reported facility policies, staff education, and termination of Staff G. |
| Staff D | Certified Nursing Assistant (CNA) | Named in deficiency for late dependent adult abuse training. |
| Staff E | Certified Nursing Assistant (CNA) | Named in deficiency for late dependent adult abuse training. |
| Staff F | Business Office Manager | Verified staff training completion and registry status. |
| Administrator | Administrator | Reported facility policies and lack of bed hold policy. |
Inspection Report
Plan of Correction
Deficiencies: 0
Mar 9, 2023
Visit Reason
The document serves as a plan of correction following a survey, indicating acceptance of a credible allegation of compliance and certification of the facility in compliance effective March 9, 2023.
Findings
The facility was found to be in compliance based on acceptance of the credible allegation of compliance and plan of correction; no specific deficiencies are detailed in this document.
Inspection Report
Annual Inspection
Census: 28
Deficiencies: 2
Feb 9, 2023
Visit Reason
The inspection was conducted as the facility's annual recertification survey from February 6, 2023 to February 9, 2023.
Findings
The facility failed to update the care plans for two residents to accurately reflect changes in medication and catheter use, and failed to ensure the Dietary Manager was certified. The facility reported a census of 28 residents. Corrective actions and plans for ongoing audits and education were described.
Deficiencies (2)
| Description |
|---|
| Failure to update residents' care plans to accurately reflect changes in medication and catheter use for 2 of 12 reviewed residents. |
| Failure to ensure the Dietary Manager was certified as required by regulation. |
Report Facts
Census: 28
Modules completed: 10
Tests remaining: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jaime Wild | Administrator | Signed the plan of correction document |
| Director of Nursing | Reported care plans should have been updated and facility policy on melatonin use | |
| Dietary Manager | Reported progress toward certification and employment since November 2021 | |
| Business Office Manager | Reported Dietary Manager hire date | |
| Administrator | Reported Dietary Manager was taking coursework to complete certification |
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 17, 2022
Visit Reason
Investigation of complaints #100873-C, #104772-C, and #104844-C conducted from 11/10/22 to 11/17/22.
Findings
The investigation of the three complaints resulted in no deficiencies. All complaints were found to be not substantiated.
Complaint Details
Complaint #100873-C was not substantiated. Complaint #104772-C was not substantiated. Complaint #104844-C was not substantiated.
Inspection Report
Annual Inspection
Census: 32
Deficiencies: 9
Sep 23, 2021
Visit Reason
A re-certification survey was conducted from September 13-23, 2021 to assess compliance with federal regulations and facility standards.
Findings
The survey identified multiple deficiencies related to resident rights, coordination of assessments, comprehensive care plans, infection control, and professional standards of care. Specific issues included failure to maintain accurate advance directives, incomplete care plans, inadequate infection prevention practices, and insufficient nursing coverage.
Severity Breakdown
SS=D: 8
SS=E: 1
Deficiencies (9)
| Description | Severity |
|---|---|
| Failure to ensure code status was consistent in electronic and paper health records for residents. | SS=D |
| Failure to submit accurate Preadmission Screening and Resident Review (PASARR) information. | SS=D |
| Failure to develop and implement comprehensive care plans including oxygen use and fall interventions. | SS=D |
| Failure to update care plans with new diagnoses, fall interventions, and oxygen usage. | SS=D |
| Failure to obtain an order for oxygen use for a resident. | SS=D |
| Failure to meet professional standards of care including obtaining orders for oxygen and providing adequate nursing coverage. | SS=D |
| Infection prevention and control deficiencies including failure to perform hand hygiene, use goggles, and prevent transmission of infections. | SS=E |
| Failure to provide adequate perineal care to prevent urinary tract infections. | SS=D |
| Failure to ensure registered nurse coverage for at least 8 consecutive hours a day, 7 days a week. | SS=D |
Report Facts
Census: 32
Entries screened: 426
Entries failed screening: 5
Entries incomplete: 42
Employees not wearing mask or sanitizer: 68
County COVID positivity rate: 23.7
Deficiencies cited: 9
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kylie Maurer | Primary Physician | Provided order for oxygen for resident #14 |
| Staff G | Registered Nurse | Involved in findings related to resident care and infection control |
| Staff A | Certified Nurse Assistant | Reported resident oxygen use and involved in infection control observations |
| Staff B | Licensed Practical Nurse | Reported resident oxygen use and involved in infection control observations |
| Staff C | Certified Nurse Assistant | Observed not performing hand hygiene and improper perineal care |
| Staff D | MDS Coordinator / Registered Nurse | Reported on resident orders and oxygen use |
| Staff E | Certified Nurse Assistant | Observed not performing hand hygiene and improper perineal care |
| Director of Nursing | DON | Interviewed regarding code status, oxygen orders, infection control, and staffing |
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 2
Jan 28, 2021
Visit Reason
The inspection was conducted as an investigation of multiple complaints (#94927-C, #93964-C, #93963-C, #94843-C, #94542-C) regarding the facility's compliance with regulations.
Findings
The investigation substantiated four of the five complaints, revealing deficiencies in preparation and documentation for safe and orderly transfer or discharge of residents, and failure to ensure appropriate infection prevention and control practices.
Complaint Details
Complaints #94927-C, #93964-C, #93963-C, and #94542-C were substantiated; complaint #94843-C was not substantiated.
Severity Breakdown
SS=D: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to provide and document sufficient preparation and orientation to ensure safe and orderly transfer or discharge for one resident. | SS=D |
| Facility failed to ensure staff used appropriate infection control standards of practice to protect from potential infection, including hand hygiene and glove use during wound care for two residents. | SS=D |
Report Facts
Complaints investigated: 5
Residents reviewed: 3
Census: 29
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding Resident #10's admission and behaviors |
| Administrator | Administrator | Interviewed regarding Resident #10's admission and family interactions |
| Staff B | Registered Nurse (RN) | Observed providing wound care to Residents #2 and #5 |
| Staff A | Licensed Practical Nurse (LPN) | Interviewed about Resident #10's care on 10/8/20 |
Inspection Report
Abbreviated Survey
Census: 28
Deficiencies: 0
Dec 30, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted from 12/28/20 through 12/30/20 to assess the facility's compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
Inspection Report
Abbreviated Survey
Census: 32
Deficiencies: 0
Dec 1, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals from 11/30 to 12/1/2020 to assess compliance with CMS and CDC recommended practices for COVID-19.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices for COVID-19 during the survey.
Inspection Report
Routine
Census: 31
Deficiencies: 0
Jun 8, 2020
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the Department of Inspection and Appeals to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.
Findings
The facility was found to be in compliance with CMS and CDC recommended practices to prepare for COVID-19.
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