Lorien Nsg & Rehab Ctr Belair

Based on review of a facility reported incident, medical record review, and interview, it was determined that the facility failed to provide needed activities of daily living (ADL) for a resident totally dependent for care (Resident #10).

This was evident for 1 of 29 residents reviewed during a complaint survey.

The findings include:Review of facility reported incident 336885 on 11/14/25 for Resident #10 revealed the facility substantiated Staff #13 failed to provide care for the Resident on 5/23/25 from 3-11 PM.Review of Resident #10's medical record revealed the Resident was admitted to the facility in 2017 with a diagnosis to include Multiple Sclerosis.The MDS is part of the Resident Assessment Instrument that was Federally mandated in legislation passed in 1986.

The MDS is a set of assessment screening items employed as part of a standardized, reproducible, and comprehensive assessment process that ensures each resident's individual needs are identified, that care is planned based on those individualized needs, and that the care is provided as planned to meet the needs of each resident.

Review of the Resident #10's quarterly MDS assessment on 5/2/25 revealed the facility staff assessed the Resident in Section GG Functional Abilities to be dependent on staff for self-care. At that time the Resident was assessed in Section C to have a BIMS (Brief Interview for Mental Status) of 14 of 15, indicating he/she was cognitively intact.Review of facility investigation on 11/14/25 revealed on 5/23/25 at approximately 8:30 PM the Resident's nurse (Staff #14) stated she noted the Resident had a bowel movement and asked the Resident's GNA (geriatric nursing assistant) Staff #13 to change the Resident. In the investigation Staff #13 stated she went into the Resident's room at approximately 11 PM to empty the Resident's urinary catheter for urine and did not realize the Resident needed to be changed.

Further review of the facility investigation revealed GNA #15 took over care for Resident #10 on 5/23/25 for 11 PM - 7 AM shift and stated when went into Resident #10's room and it smelled bad. GNA #15 stated Resident #10 stated the previous GNA never came in and changed him/her.Further review of Resident #10's medical record revealed the Resident was discharged from the facility in June 2025.Interview with the Administrator on 11/14/25 at 10:50 AM confirmed the facility staff failed to provide ADL care for Resident #10 on 5/23/25 3 PM- 11 PM shift.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/17/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Lorien Nsg & Rehab Ctr Belair

1909 Emorton Road Bel Air, MD 21015

SUMMARY STATEMENT OF DEFICIENCIES