Deficiencies (last 5 years)
Deficiencies (over 5 years)
7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
52% worse than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 1
Date: Jul 17, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's infection prevention and control practices related to COVID-19.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number 2563541.
Findings
The facility failed to ensure staff wore appropriate personal protective equipment (PPE) when caring for residents with COVID-19 infection, affecting five residents. Observations and interviews confirmed staff did not follow required PPE protocols, including use of N-95 masks and eye protection.
Deficiencies (1)
F 0880: The facility failed to ensure staff wore appropriate PPE when caring for residents with COVID-19, exposing five residents to potential harm. Staff were observed not wearing gowns, N-95 masks, or eye protection as required by policy.
Report Facts
Residents affected: 5
Census: 90
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #104 | Observed not wearing required PPE while caring for COVID-19 positive resident | |
| Infection Control Preventionist #110 | Confirmed PPE requirements and isolation signage | |
| Licensed Practical Nurses (LPN) #106 and #202 | Observed wearing inadequate PPE when caring for COVID-19 positive resident |
Inspection Report
Routine
Census: 91
Deficiencies: 15
Date: Nov 4, 2024
Visit Reason
Routine inspection of Laurels of Worthington nursing home to assess compliance with regulatory requirements including resident care, medication management, activities, and safety.
Findings
The facility had multiple deficiencies including failure to ensure residents had access to call lights, inadequate notification and management of resident funds, failure to notify guardians of condition changes, lack of homelike environment in memory care, insufficient assistance with activities of daily living, inadequate activity programming, failure to provide podiatry services, improper management of contractures, lack of fall prevention measures, untimely incontinence care, missing colostomy supplies, failure to monitor dialysis weights and communication, lack of trauma-informed care, and inadequate monitoring of medication side effects.
Deficiencies (15)
F 0558: Facility failed to ensure residents #5 and #58 had access to call lights; call lights were out of reach and wrapped around bed posts.
F 0569: Facility failed to verify receipt of spenddown notifications and plan to spend down accounts for four Medicaid residents (#25, #43, #48, #58).
F 0580: Facility failed to notify Resident #42's guardian of change in condition and new medication order for UTI treatment.
F 0584: Facility failed to ensure a homelike environment for 27 residents on the memory care unit by serving meals on trays in the dining room.
F 0677: Facility failed to provide adequate and timely assistance with nail care and eating for four residents (#11, #30, #55, #61).
F 0679: Facility failed to ensure activities were offered and provided for residents #11, #30, #55, and #72; residents often had no activities or entertainment available.
F 0687: Facility failed to arrange podiatry services for Resident #61 despite physician order and family request.
F 0688: Facility failed to provide splints and palm protectors to residents #1 and #55 to prevent worsening contractures; splints were not applied or documented.
F 0689: Facility failed to implement fall interventions for Resident #63; non-skid socks were not worn despite fall risk.
F 0690: Facility failed to provide timely incontinence care for Resident #72 who was dependent on staff; resident was not checked or changed timely.
F 0691: Facility failed to ensure colostomy supplies were available for Resident #147 who performed self-care; supplies were missing at bedside.
F 0698: Facility failed to obtain daily weights and post dialysis communication forms for Resident #18 as ordered by physician.
F 0699: Facility failed to provide trauma-informed care for Resident #41 with PTSD; no care plan, monitoring, or interventions were documented.
F 0757: Facility failed to monitor for adverse reactions and side effects related to anticoagulants, diuretics, insulin, and psychotropic medications for Residents #36 and #82.
F 0758: Facility failed to monitor for potential side effects of antipsychotic and antidepressant medications for Resident #1 and #36; no documented behavioral interventions.
Report Facts
Facility census: 91
Residents affected: 2
Residents affected: 4
Residents affected: 1
Residents affected: 27
Residents affected: 4
Residents affected: 4
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| STNA #123 | State Tested Nurse Aide | Verified call light access issues for Residents #5 and #58 |
| BOM #205 | Business Office Manager | Verified no spenddown notification receipt for residents #25, #43, #48, #58 |
| DON | Director of Nursing | Verified guardian notification failure for Resident #42 and other findings |
| LPN #152 | Licensed Practical Nurse | Verified meal tray service on memory care unit |
| ADON #132 | Assistant Director of Nursing | Verified nail care needs for Resident #30 |
| STNA #128 | State Tested Nursing Assistant | Verified assistance needs and activity observations |
| Unit Manager #210 | Unit Manager | Verified assistance needs and contracture observations |
| Director of Recreation Service #190 | Director of Recreation Service | Reported staffing issues and activity programming |
| DSS #106 | Director of Social Services | Verified lack of podiatry consult for Resident #61 |
| TO #220 | Occupational Therapist | Verified splint application education and contracture management |
| STNA #128 and #209 | State Tested Nursing Assistants | Reported uncertainty about splint and palm protector for Resident #1 |
| STNA #198 | State Tested Nurse Aide | Verified Resident #63 did not have non-skid socks on |
| RN #125 | Registered Nurse | Confirmed medication administration and monitoring issues for Residents #36 and #82 |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jul 10, 2024
Visit Reason
Annual survey inspection of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 92
Deficiencies: 2
Date: May 30, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding medication administration errors at the facility.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00153578.
Findings
The facility failed to ensure medication error rates were below five percent, with three medication errors out of 30 opportunities resulting in a 10% error rate. Specifically, medications that should not have been crushed were crushed and a prescribed topical medication was not administered due to unavailability.
Deficiencies (2)
F 0759: The facility failed to ensure medication error rates were below five percent, resulting in a 10% error rate affecting two residents. Three medication errors occurred during medication administration observations.
F 0760: The facility failed to ensure timed release medications were not crushed, resulting in a significant medication error affecting one resident. Medications on the do not crush list were crushed and administered.
Report Facts
Medication errors: 3
Residents observed for medication administration: 5
Census: 92
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #100 | Licensed Practical Nurse | Involved in medication administration errors including crushing medications that should not be crushed and failure to administer prescribed topical medication. |
| Director of Nursing | Director of Nursing (DON) | Provided interview confirming medication policies and errors related to crushing medications. |
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 2
Date: Apr 17, 2023
Visit Reason
The inspection was conducted as a complaint investigation regarding an allegation of physical abuse involving Resident #3 and a staff member.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00142023. The allegation of abuse was unsubstantiated after investigation, but the facility failed to timely notify the Administrator and ensure resident protection.
Findings
The facility failed to timely notify the Administrator of the abuse allegation and failed to ensure protection of the resident. The investigation found no evidence to substantiate the abuse claim, but the staff member was suspended pending investigation. The allegation was unsubstantiated.
Deficiencies (2)
F 0609: The facility failed to timely report suspected abuse, neglect, or theft and report investigation results to proper authorities. This affected one resident and potentially others assigned to the alleged staff member.
F 0610: The facility failed to ensure protection of a resident when a physical abuse allegation was made. The allegation was investigated and found unsubstantiated, but the staff member was suspended pending investigation.
Report Facts
Census: 90
Residents potentially affected: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| STNA #104 | State Tested Nurse Assistant | Alleged staff member involved in abuse allegation and suspended pending investigation |
| LPN #103 | Licensed Practical Nurse | Reported bruising and notified appropriate parties |
| LPN #102 | Licensed Practical Nurse | Assisted in assessment and reporting of injury |
| ADON #106 | Assistant Director of Nursing | Received late notification of abuse allegation and received written education for failure to notify timely |
| RN #107 | Registered Nurse Regional Clinical Coordinator | Confirmed delay in notification and involvement in investigation |
| Administrator | Provided information on facility response and corrective actions |
Inspection Report
Complaint Investigation
Census: 93
Deficiencies: 1
Date: Mar 29, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding medication administration errors at the facility.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00141194.
Findings
The facility failed to ensure medication error rates were less than five percent, with a 17.2% medication error rate identified. Medication administration was observed to be late for three residents, with no physician orders allowing late administration.
Deficiencies (1)
F 0759: Ensure medication error rates are not 5 percent or greater. The facility had five medication errors out of 29 opportunities, resulting in a 17.2% error rate affecting three residents. Medication administration was late without physician orders for Residents #13, #14, and #15.
Report Facts
Medication errors: 5
Medication error rate: 17.2
Facility census: 93
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #215 | Administered medications late to Residents #13, #14, and #15 |
Inspection Report
Complaint Investigation
Census: 91
Deficiencies: 2
Date: Mar 9, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure residents were ready and transportation was arranged for physician ordered off-site appointments and timely collection of physician ordered laboratory tests.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00140172.
Findings
The facility failed to ensure transportation was arranged and residents were ready at scheduled times for off-site medical appointments, affecting two residents. Additionally, the facility failed to ensure physician ordered laboratory studies were collected in a timely manner for one resident.
Deficiencies (2)
F 0684: The facility failed to ensure transportation was arranged and residents were ready at scheduled times for physician ordered off-site appointments, affecting two residents. Missed appointments were rescheduled but reasons for missed appointments were unclear.
F 0770: The facility failed to ensure physician ordered laboratory studies were collected in a timely manner for one resident. Labs ordered on 12/01/22 were not completed as ordered.
Report Facts
Residents requiring facility provided transportation: 21
Census: 91
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Interviewed regarding missed appointments and lab collection failures. |
Inspection Report
Routine
Census: 89
Deficiencies: 8
Date: Mar 17, 2022
Visit Reason
Routine inspection of Laurels of Worthington nursing home to assess compliance with healthcare regulations and resident care standards.
Findings
The facility had multiple deficiencies including failure to timely notify physicians and families of resident status changes, improper use of physical restraints, inadequate hygiene care, failure to provide ordered protective geri-sleeves, insufficient non-pharmacological pain management, medication administration errors, improper food texture provision, and unsanitary food handling and storage practices.
Deficiencies (8)
F 0580: The facility failed to timely notify the resident's physician and responsible party of changes in a resident's status and missed doses of prescribed medication for Resident #76.
F 0604: The facility failed to ensure residents were free from unneeded physical restraints, affecting six residents who had wanderguards without justification and unsecured exit doors.
F 0677: The facility failed to timely provide hygiene care, including shaving and nail care, for Resident #13 who required assistance with activities of daily living.
F 0684: The facility failed to ensure geri-sleeves were in place as ordered for three residents at risk for skin injury.
F 0697: The facility failed to provide non-pharmacological interventions prior to administering PRN narcotic pain medication for Residents #53 and #85.
F 0755: The facility failed to administer medication as ordered to Resident #76, missing doses of Lasix despite availability in the emergency drug kit.
F 0805: The facility failed to provide the proper food texture for Resident #62, serving cubed potatoes instead of pureed as ordered.
F 0812: The facility failed to store and serve food in a sanitary manner, including improper glove use by dietary staff and failure to date food cans properly.
Report Facts
Residents on pain management program: 26
Residents requiring assistance with ADLs: 87
Residents receiving mechanically altered diet: 29
Residents affected by restraint deficiency: 6
Residents affected by hygiene care deficiency: 1
Residents affected by geri-sleeves deficiency: 3
Residents affected by pain management deficiency: 2
Residents affected by medication administration deficiency: 1
Residents affected by food texture deficiency: 1
Residents affected by food sanitation deficiency: 88
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #401 | Licensed Practical Nurse | Verified missed medication doses for Resident #76 and lack of documentation. |
| RN #510 | Registered Nurse | Verified missed medication doses and notification failures for Resident #76. |
| LPN #309 | Licensed Practical Nurse | Explained electronic medication administration record system and red tile indication for missed meds. |
| LPN #326 | Licensed Practical Nurse | Confirmed absence of geri-sleeves on Resident #59 and verified physician orders. |
| LPN #325 | Licensed Practical Nurse | Verified physician orders for geri-sleeves for Resident #59. |
| LPN #301 | Licensed Practical Nurse | Interviewed about pain management interventions and documentation. |
| Director of Nursing | Director of Nursing | Confirmed lack of non-pharmacological interventions prior to pain medication administration. |
| STNA #348 | State Tested Nursing Assistant | Verified Resident #13 had not been shaved or had fingernails trimmed. |
| STNA #337 | State Tested Nursing Aide | Confirmed Resident #29 was not wearing geri-sleeves. |
| LPN #326 | Licensed Practical Nurse | Confirmed no wanderguard systems on secured unit exit doors. |
| Dietary Manager #353 | Dietary Manager | Confirmed food storage issues and improper glove use by dietary staff. |
| Dietary #412 | Dietary Staff | Observed not changing gloves between food handling tasks. |
Inspection Report
Census: 92
Deficiencies: 4
Date: Aug 22, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to care planning, catheter care, medication storage, and rehabilitative services at the nursing home.
Findings
The facility failed to ensure care plans were updated to reflect residents' current status and interventions, accurate documentation and care for indwelling urinary catheters, medication carts were free of expired medications, and occupational therapy recommendations for restorative care were implemented.
Deficiencies (4)
F 0657: The facility failed to revise care plans to reflect current resident status and interventions for four residents, including incorrect documentation of comatose status and amputation.
F 0690: The facility failed to ensure accurate documentation and consistent catheter care for one resident with an indwelling urinary catheter.
F 0761: The facility failed to ensure medication carts were free of expired medications, affecting two medication carts and one medication storage room.
F 0825: The facility failed to provide occupational therapy restorative care as recommended for one resident, including use of splints and passive range of motion exercises.
Report Facts
Residents affected: 4
Residents affected: 1
Residents affected: 2
Residents affected: 1
Facility census: 92
Medication expiration dates: Sep 1, 2018
Medication expiration dates: Mar 13, 2019
Medication expiration dates: Jul 1, 2019
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #144 | LPN | Confirmed expired medications and residents who received them |
| Licensed Practical Nurse #101 | LPN | Confirmed expired medication and resident who received it |
| Director of Nursing | DON | Confirmed care plan inaccuracies and catheter care documentation issues |
| Social Service Designee #400 | SSD | Updated care plan for Resident #30 and confirmed care plan inconsistencies |
| Director of Recreation #54 | DOR | Provided information about Resident #34's social interaction and care plan |
| Occupational Therapy Assistant #72 | OTA | Explained process for restorative care recommendations |
| Restorative State Tested Nursing Aide #68 | RSTNA | Reported lack of implementation of restorative care for Resident #34 |
| Assistant Director of Nursing | ADON | Acknowledged knowledge of restorative care recommendation but lack of implementation |
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