Laurels Peak Care & Rehabilitation Center

repairs. RN-D described the heat registers as being in poor condition and noted that beds leaning against them contributed to covers falling off of the rooms throughout the facility.

On 9/9/25 at 1:50 p.m., the regional director of operations (RDO) stated he reviewed the concerns from the resident council meeting from 8/1/25, that indicated the furnaces in the rooms needed fixing.

The RDO stated MD-A stated all the furnace covers were fixed, and stated he had not checked himself, but expected the furnace covers were fixed and securely attached in all resident rooms.

On 9/9/25 at 1:53 p.m., during observation with RDO in rooms for in rooms R5, R14, R25, R29, R34, R49, and R77, RDO observed the baseboard heater covers were either detached, loose, or missing, exposing heating elements and/or sharp metal edges.

On 9/9/25 at 1:59 p.m., housekeeper (HK)-A stated the baseboard heater covers falling off was a known issue and stated the covers are not securely attached. HK-A stated when MD-A is made aware of the issue he verbalizes he will “put it on the list”.

On 9/6/25 at 2:05 p.m., RDO stated the heat register covers were expected securely attached and would expect maintenance to have fixed the concerns prior to today.

On 9/10/25 at 7:11 a.m., MD-A stated he could not fully remember the details, but the TELS order submitted 6/25, indicated he completed the work order, that the metal cover came off R5's heater. MD-A stated though he did not recall the details he assumed the issue had been resolved if the work order had been closed. MD-A acknowledged concerns about the missing covers were brought up again during the 8/2025 resident council meeting, and became aware of those concerns on 9/8/25.

Following this, MD-A stated he conducted a walkthrough of all resident rooms and personally observed multiple rooms with furnace covers that were either missing or in disrepair. MD-A recognized these posed a safety hazard.

Residents or staff, could get cut, on the exposed areas.

Despite identifying the issue, MD-A admitted he did not repair or replace the covers at that time. MD-A explained, staff can report maintenance concerns either by entering a request in the TELS (work order) system or by informing MD-A verbally. MD-A also stated he does not keep a written list of reported concerns, as he relies on his, great memory, and did not find it necessary to track issues in writing.

On 9/10/25 at 9:51 a.m., an email received by the DON indicated, the facility did not have a policy or procedure for requesting maintenance, we don't have a policy or procedure, all staff are able to put in a TELS which goes directly to the maintenance team for any repairs needed, no policy on clean building and indicated the facility adhered to the resident bill of rights for home like environment, and further indicated no environmental policy.

Facility ID:

Federal health inspectors cited Laurels Peak Care & Rehabilitation Center in MANKATO, MN for a deficiency under regulatory tag F-F0585 during a standard health inspection conducted on 2025-09-11.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Laurels Peak Care & Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Laurels Peak Care & Rehabilitation Center in MANKATO, MN for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-11.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Laurels Peak Care & Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Laurels Peak Care & Rehabilitation Center in MANKATO, MN for a deficiency under regulatory tag F-F0676 during a standard health inspection conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Laurels Peak Care & Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Laurels Peak Care & Rehabilitation Center in MANKATO, MN for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Laurels Peak Care & Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Laurels Peak Care & Rehabilitation Center in MANKATO, MN for a deficiency under regulatory tag F-F0685 during a standard health inspection conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Assist a resident in gaining access to vision and hearing services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Laurels Peak Care & Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Laurels Peak Care & Rehabilitation Center in MANKATO, MN for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Laurels Peak Care & Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Laurels Peak Care & Rehabilitation Center in MANKATO, MN for a deficiency under regulatory tag F-F0803 during a standard health inspection conducted on 2025-09-11.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Laurels Peak Care & Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.

Federal health inspectors cited Laurels Peak Care & Rehabilitation Center in MANKATO, MN for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-11.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of Laurels Peak Care & Rehabilitation Center.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-27.