The Laurels of Hendersonville: Medication Cart Failures - NC
A June 5 inspection found that at least one discontinued medication remained on a cart after it should have been pulled and placed in a pharmacy return bin inside the medication room. A nurse told inspectors the medication had been discontinued and the oversight was simply that — it was overlooked.
The Director of Nursing said nurses were expected to check medications before administering them and that unit managers and administrative nurses reviewed the carts weekly for expired drugs. Her expectation, she said, was that discontinued medications would be removed the same day they were discontinued, by whichever nurse was assigned to that cart.
She later revised her explanation. The weekly checks were happening, she said, but staff were moving through the carts too fast. Expired medications were being missed as a result.
The administrator, interviewed the same afternoon, said his expectation matched the DON's: staff remove expired and discontinued medications and place them in the pharmacy return bin. He offered no explanation for why that wasn't happening.
Three people with authority over medication management at the facility — bedside nurses, unit managers, and administrative nurses — all had some responsibility for catching this problem. None of them did. The inspection classified the harm level as minimal, with potential for actual harm, and noted that some residents were affected.
The pharmacy return bin was inside the medication room. The medication carts were nearby. The distance between a discontinued drug and where it was supposed to go was not the problem.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Laurels of Hendersonville from 2026-06-05 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
The Laurels of Hendersonville in Hendersonville, NC was cited for violations during a health inspection on June 5, 2026.
A nurse told inspectors the medication had been discontinued and the oversight was simply that — it was overlooked.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.