The Laurels Of Fulton

jeopardy to resident health or safety

Resident. CNA G reported that three or four staff came out and escorted the Resident into the facility. On 10/8/25 at 10:40 AM a telephone interview was conducted with Licensed Practical Nurse (LPN) D. LPN D reported on the afternoon of Sunday 9/21/25 she was getting ready to pass medications and the CNAs were getting residents ready for dinner. LPN D reported she answered a phone call from a night CNA (CNA G) who was coming in early and had picked up (name of R101) down the road from the facility. LPN D indicated she did not know R101 had left the facility. LPN D reported she went out to the parking lot with several other staff members and walked R101 into the facility. LPN D reported that R101 had said that her mom told her to go get some medicine. On 10/8/25 at 10:38 AM a telephone interview was initiated with CNA F who reported she had worked on Sunday 9/21/25. CNA F reported that R101 had been at the Nurse's station a few minutes prior when CNA G called on the telephone and reported that the Resident was outside in her car. CNA F indicated she did not know R101 had left the facility or why R101 did not have a [brand name of alarming device] on. CNA F reported the Resident had recently returned from a psychiatric facility and should have been wearing a [brand name of alarming device]. CNA F reported a [brand name of alarming device] would have locked the front doors when close to them and would have prevented R101 from leaving the building.On 10/8/25 at 10:08 AM an interview was conducted with LPN E who reported she worked on Sunday 9/21/25. LPN E reported she had seen R101 chatting at the front desk and a short while later a CNA coming into work had called and said, I have (name of R101). LPN E reported she went out to the parking lot and helped escort the Resident back into the facility. LPN E reported she immediately assessed and put a [brand name of alarming device] on R101, then entered the Resident into the facility elopement book.During the onsite survey, past noncompliance (PNC) was cited after the facility implemented actions to correct the noncompliance which included.The Immediate Jeopardy that began on 9/21/25 was removed on 9/22/25 when the facility 1) Re-assessed the elopement risk for R101 and implemented measures to prevent recurrence.2) Performed a resident count to ensure no other residents had eloped.3) Assessed all facility residents for risk of elopement for any previously unidentified residents at risk and ensured appropriate safety measures were in place.The Deficient Practice was corrected on 9/22/25 when the facility:1) Reviewed and updated the facility Missing Guest/Elopement book.2) Re-education of the Elopement policy was initiated for all staff. 3) Re-education of the Missing Guest Procedure for all staff was initiated4) The Nursing Home Administrator was re-educated on the facility elopement policy and the expected information to be ascertained to ensure compliance with the facility policy across disciplines.

The facility was able to demonstrate monitoring of the corrective action and maintained compliance as of 9/22/25.

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