Laurel Ridge Rehab And Skilled Care Center
LAUREL RIDGE REHAB AND SKILLED CARE CENTER in BOSTON, MA — inspection on May 21, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview and record review on 5/21/25 at 9:52 A.M., Unit Manager #1 said Resident #22 signed the Trazadone and Risperidone psychotropic consent forms.
Unit Manager #1 said Resident #22 has an invoked HCP.
Unit Manager #1 said the HCP should have been informed of the psychotropic medications the Resident was taking so he/she could provide consent to continue to administer the psychotropic medications.
During an interview on 5/21/25 at 10:11 A.M., the Social Worker said Resident #22's HCP should have provided consent prior to the administration of the psychotropic medications.
The Social Worker said she just informed the HCP about the Resident taking psychotropic medications and the need to obtain consent from him/her.
During an interview on 5/21/25 at 10:59 A.M., the Director of Nurses (DON) said residents' responsible parties should be informed of the residents' treatment and care.
The DON said the HCP should have been informed of the facility administering psychotropic medications prior to administering the medications so he/she could provide consent.
During a telephone interview on 5/23/25 at 2:02 P.M., the HCP said he/she was not aware of the specific psychotropic medications Resident #22 was taking. He/she said he/she got a call from the facility a day ago asking him/her to come into the facility to sign the psychotropic consents.
The HCP said prior to that call, he/she was aware the Resident was taking medications in general, but had no knowledge of the specific psychotropic medications he/she was taking, their benefits, risks and side effects.
225469
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 225469 B.
Wing 05/21/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Laurel Ridge Rehab and Skilled Care Center 174 Forest Hills Street Boston, MA 02130
During an interview on 5/21/25 at 10:51 A.M., the Director of Nurses said a substance use care plan should be developed even if the Resident is not actively using substances.
225469
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 225469 B.
Wing 05/21/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Laurel Ridge Rehab and Skilled Care Center 174 Forest Hills Street Boston, MA 02130
Review of Resident #15's Norton Scale Predicting Risk of Pressure ulcer scale (an assessment that indicates the risk of developing pressure ulcers) dated 4/23/25 indicated that the Resident scored a 10 which indicated that the Resident is at a high risk of developing pressure ulcers.
Review of Resident #15's weight loss history indicated that the Resident's last documented weight on 5/12/25 was 164.1 lbs. (pounds).
Review of Resident #15's Wound Evaluation and Management Summary assessed by the facility's wound physician indicated that the Resident currently has a stage 3 pressure ulcer to his/her coccyx and a stage 4 pressure ulcer to his/her right heel.
During an interview on 5/21/25 at 9:59 A.M., Nurse #2 said air mattress settings should be specified by the physician's order.
During an interview on 5/21/25 at 10:06 A.M., Nurse #1 said air mattresses in the facility are typically set to the resident's most recent weight.
Nurse #1 and the surveyor reviewed Resident #15's physician's order, and she said it should specify a weight setting or comfort.
Nurse #1 continued to say that 450 pounds was way too high of a setting for Resident #15's air mattress and it would be too firm.
During an interview on 5/21/25 at 10:21 A.M., the Director of Nursing (DON) said Resident #15's physician's order needs to be clarified for the appropriate settings.
The DON said Resident #15's air mattress set to 450 pounds is too high.
During an interview on 5/21/25 at 11:02 A.M., the Administrator said he spoke with the company who provides the air mattresses for the facility and they are coming to review Resident #15's air mattress unit as it may be faulty.
225469