Inspection Reports for
Laurens Care Center
304 East Veterans Road, Laurens, IA, 505541542
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% worse than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
71% occupied
Based on a October 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Plan of Correction
Deficiencies: 0
Date: 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
Date: Oct 8, 2025
Visit Reason
The inspection was conducted due to complaints regarding failure to ensure residents' rights to choose a pharmacy and failure to protect residents from abuse by another resident.
Complaint Details
The complaint investigation found substantiated incidents of Resident #1 sexually touching Residents #2 and #3 multiple times despite interventions. The facility was aware of Resident #1's behaviors and had implemented 15-minute checks, medication changes, police involvement, and environmental controls, but incidents continued.
Findings
The facility failed to ensure Resident #4's right to choose a pharmacy for VA medications and failed to protect Residents #2 and #3 from inappropriate sexual contact by Resident #1. Multiple incidents of Resident #1 touching female residents inappropriately were documented despite interventions including increased monitoring and medication adjustments.
Deficiencies (2)
Failure to ensure residents and/or their representatives had the right to choose a pharmacy for VA medications for Resident #4.
Failure to protect residents from abuse by another resident, including inappropriate touching of Residents #2 and #3 by Resident #1.
Report Facts
Residents affected: 1
Residents affected: 2
Census: 27
Medication dosages: 250
Medication dosages: 500
Medication dosages: 0.5
Medication dosages: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff E | Licensed Practical Nurse (LPN) | Stated they had 2 residents on VA meds but not Resident #4 |
| Administrator | Admitted missed processing VA meds for Resident #4 and discussed interventions for Resident #1 | |
| Director of Nursing (DON) | Spoke with Resident #1 regarding behaviors and coordinated care | |
| Psychiatric Nurse Practitioner (Psych NP) | Provided medication orders and behavioral recommendations for Resident #1 | |
| Staff A | Registered Nurse (RN) | Reported and intervened in incidents involving Resident #1 |
| Staff B | Certified Nursing Assistant (CNA) | Reported Resident #1 touching Resident #2 inappropriately |
| Staff C | Certified Nursing Assistant (CNA) | Reported awareness of Resident #1's behaviors and interventions |
| Staff D | Certified Nursing Assistant (CNA) | Completed 15-minute checks for Resident #1 |
| Staff F | Certified Nursing Assistant (CNA) | Reported knowledge of Resident #1's routine and incidents |
| Staff G | Certified Nursing Assistant (CNA) | Witnessed incident of Resident #1 touching Resident #3 |
Inspection Report
Complaint Investigation
Census: 27
Deficiencies: 2
Date: 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.
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.
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.
Deficiencies (2)
Facility failed to ensure residents and/or their representatives had the right to choose a pharmacy for 1 of 3 residents reviewed (Resident #4).
Facility failed to ensure residents were free from abuse for 2 of 3 residents reviewed (Residents #1 and #2).
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
Date: 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: 4
Date: Mar 20, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulations regarding resident bed hold policies, care planning, and respiratory care in the nursing home.
Findings
The facility failed to provide written notice of the bed hold policy specifying duration and costs for residents on hospital leave, failed to develop and implement comprehensive care plans addressing psychotropic medication and updating care plans after assessments, and failed to document oxygen use properly for residents requiring oxygen therapy.
Deficiencies (4)
Failed to provide written notice of bed hold policy specifying duration and reserve payment for residents on hospital leave.
Failed to develop and implement a comprehensive care plan addressing psychotropic medication for a resident.
Failed to review and revise resident care plans after each assessment for two residents.
Failed to ensure documentation of oxygen use when administered as needed for a resident.
Report Facts
Residents affected: 3
Residents affected: 1
Residents affected: 2
Residents affected: 1
Census: 26
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager | Acknowledged not providing resident/representative a copy of bed hold notice | |
| Director of Nursing | Confirmed deficiencies related to bed hold verbal consent, care plan omissions, and oxygen documentation | |
| Charge Nurse | Signed bed hold notices lacking daily rates |
Inspection Report
Routine
Census: 26
Deficiencies: 5
Date: 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)
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
Date: Dec 24, 2024
Visit Reason
Investigation of complaint #124063-C conducted on 12/23-24/2024 to review prior citations and investigation findings.
Complaint Details
Complaint #124063-C was investigated and found to have prior citations from a previous survey.
Findings
The investigation revealed that the subject had been previously investigated and cited on a prior survey.
Inspection Report
Plan of Correction
Deficiencies: 0
Date: 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
Routine
Census: 30
Deficiencies: 5
Date: Mar 21, 2024
Visit Reason
The inspection was conducted to assess compliance with Medicare and Medicaid regulations, including proper notification of Medicare non-coverage, bed hold policies, nurse aide certification, infection control practices, and staff training on abuse reporting.
Findings
The facility was found deficient in providing timely and correct Medicare non-coverage notices, ensuring bed hold notices were signed upon resident transfers, verifying nurse aide certification and registry status, implementing proper infection control measures during a suspected norovirus outbreak, and providing required dependent adult abuse training within six months of hire for some staff.
Deficiencies (5)
Failed to provide notice of Medicare Non-coverage 48 hours in advance and used incorrect Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage forms for residents.
Failed to ensure bed hold notice was signed by resident or responsible person when residents transferred out of the facility.
Failed to verify and assure a student CNA was certified and registered after completing the CNA course and passing the written exam.
Failed to use personal protective equipment and perform hand hygiene when exchanging water pitchers for residents suspected of having Norovirus.
Failed to provide required 2 hour dependent adult abuse training within 6 months of hire for some employees.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 5
Residents affected: 30
Employees affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff G | Student Certified Nursing Assistant | Failed to verify certification and registration on Direct Care Worker Registry; discrepancies in written exam results |
| Staff D | Certified Nursing Assistant | Completed dependent adult abuse training late, not within 6 months of hire |
| Staff E | Certified Nursing Assistant | Completed dependent adult abuse training late, not within 6 months of hire |
| Staff A | Certified Nursing Assistant | Observed failing to use PPE and perform hand hygiene during Norovirus outbreak |
| Staff B | Licensed Practical Nurse | Reported PPE requirements during Norovirus outbreak |
| Staff C | Social Worker | Verified late and incorrect Medicare Non-coverage notices |
| Staff F | Business Office Manager | Reported on Staff G certification status and dependent adult abuse training completion |
| Director of Nursing | Director of Nursing | Reported on Staff G certification issues, bed hold form expectations, and facility policies |
Inspection Report
Annual Inspection
Census: 30
Deficiencies: 5
Date: 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.
Complaint Details
Complaint #119395-C was investigated and found not substantiated. Facility reported incident #119420-I was also not substantiated.
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.
Deficiencies (5)
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
Date: 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
Date: Feb 9, 2023
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with regulatory requirements for Laurens Care Center.
Findings
The facility failed to update care plans accurately for 2 of 12 reviewed residents and did not ensure the Dietary Manager was certified. The deficiencies were identified through observation, staff interviews, and record reviews.
Deficiencies (2)
Failed to update the resident's care plan to accurately reflect changes in medication and catheter status for 2 residents.
Failed to ensure the Dietary Manager was certified as required by facility policy and regulations.
Report Facts
Residents present: 28
Care plan review: 12
Dietary Manager certification modules completed: 10
Dietary Manager certification tests remaining: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding care plan deficiencies and facility policies |
| Dietary Manager | Dietary Manager | Interviewed regarding certification status and employment history |
| Business Office Manager | Business Office Manager | Interviewed regarding Dietary Manager hiring date |
| Administrator | Administrator | Interviewed regarding Dietary Manager certification compliance and corrective plans |
Inspection Report
Annual Inspection
Census: 28
Deficiencies: 2
Date: 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)
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
Date: Nov 17, 2022
Visit Reason
Investigation of complaints #100873-C, #104772-C, and #104844-C conducted from 11/10/22 to 11/17/22.
Complaint Details
Complaint #100873-C was not substantiated. Complaint #104772-C was not substantiated. Complaint #104844-C was not substantiated.
Findings
The investigation of the three complaints resulted in no deficiencies. All complaints were found to be not substantiated.
Inspection Report
Annual Inspection
Census: 32
Deficiencies: 9
Date: 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.
Deficiencies (9)
Failure to ensure code status was consistent in electronic and paper health records for residents.
Failure to submit accurate Preadmission Screening and Resident Review (PASARR) information.
Failure to develop and implement comprehensive care plans including oxygen use and fall interventions.
Failure to update care plans with new diagnoses, fall interventions, and oxygen usage.
Failure to obtain an order for oxygen use for a resident.
Failure to meet professional standards of care including obtaining orders for oxygen and providing adequate nursing coverage.
Infection prevention and control deficiencies including failure to perform hand hygiene, use goggles, and prevent transmission of infections.
Failure to provide adequate perineal care to prevent urinary tract infections.
Failure to ensure registered nurse coverage for at least 8 consecutive hours a day, 7 days a week.
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
Date: 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.
Complaint Details
Complaints #94927-C, #93964-C, #93963-C, and #94542-C were substantiated; complaint #94843-C was not substantiated.
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.
Deficiencies (2)
Facility failed to provide and document sufficient preparation and orientation to ensure safe and orderly transfer or discharge for one resident.
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.
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
Date: 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
Date: 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
Date: 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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