Laurelwood Community Living Center
LAURELWOOD COMMUNITY LIVING CENTER in LAUREL, MS — inspection on April 10, 2025.
Found 2 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 a phone interview, on 04/07/25 at 02:38 PM, Resident #25's daughter explained that her mother had been hospitalized in January because she did not have a bowel movement (BM) for a week.
She had to be transferred to an acute hospital in another state and was there for almost a week because her bowels were impacted.
During an interview on 04/08/25 at 03:20 PM, Licensed Practical Nurse (LPN) #1 explained that the CNAs advise if there is a problem with a resident's BMs and the nurses receive an alert on the computer if a resident goes three (3) consecutive days without a BM.
She further explained that the facility has standing orders for medications to give if a resident needs it for no BM or constipation.
Usually, the nurse will administer oral medications related to constipation and if there are no results, they will use a suppository and rarely use an enema. If the medications are not effective, then the physician is notified.
During an interview on 04/08/25 at 04:00 PM, the Director of Nursing (DON) confirmed Resident #25 was hospitalized with a fecal impaction several months ago.
She explained the resident had a history of diarrhea and constipation and when she experienced diarrhea, medications were administered.
She confirmed Resident#25 was receiving Lomotil (antidiarrheal medication) three (3) times a day prior to the hospitalization .
The CNAs are to notify the nurse if a resident goes three (3) consecutive days without a BM and the nurse should give medications and notify the physician if there are no changes.
She reported she was not aware Resident #25 was not having BMs, and explained the physician did see the resident prior to the hospital admission in January.
She also advised the physician after she was informed by the hospital that the resident had a fecal impaction in January.
During a follow up interview with the DON on 04/09/2025 at 10:45 AM, she confirmed there was no documentation of nursing interventions, constipation medications administered, or provider notification regarding the gaps in bowel movements prior to the hospitalization for Resident #25.
255262
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 255262 B.
Wing 04/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Laurelwood Community Living Center 1036 West Drive Laurel, MS 39440
Findings include:
A review of the facility's policy Care Plans, Comprehensive Person-Centered, reviewed 10/2022 revealed, . A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident.
Policy Interpretation and Implementation . 7.
The comprehensive, person-centered care plan: . e. reflects currently recognized standards of practice for problem areas and conditions . 10.
When possible, interventions address the underlying source (s) of the problem area (s), not just symptoms or triggers. 11.
Assessments of residents are ongoing, and care plans are revised as information about the residents and the residents' conditions change .
A record review of the Care Plan Report revealed Resident #25 had a comprehensive care plan with a Focus of (Proper Name of Resident #25) is at risk for constipation r/t (related to) polypharmacy.
The Goal that was initiated on 10/4/2023 revealed, (Proper Name of Resident) will have a normal bowel movement at least every 3 (three) days .
Interventions included Follow orders for bowel management, Glycolax powder .as needed for constipation, and Observe for/document/report to MD (medical doctor) PRN (as needed) s/sx (signs and symptoms) of complications related to constipation .fecal compaction .
A record review of Resident #25's Admission Record revealed the facility originally admitted the resident on 03/01/2022 and she had a diagnosis of Constipation.
Diagnoses added with an onset date of 2/5/2025 included Hemorrhage of Anus and Rectum and Fecal Impaction.
A record review of Resident #25's Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/03/25 revealed a Brief Interview for Mental Status (BIMS) score of 13, which indicated she was cognitively intact.
Further review revealed Resident #25 is dependent on staff for toileting hygiene and frequently incontinent of bowel and bladder.
A record review of the facility's Documentation Survey Report for January 2025 revealed Resident #1 experienced multiple days without a documented bowel movement.
Specifically, there was no documented bowel movement on January 1, 2, 3, and 5, and again on January 14, 15, 16, 17, 18, and 19, which was six (6) consecutive days.
There was also no bowel movement documented on January 23, 24, and 28.
255262
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 255262 B.
Wing 04/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Laurelwood Community Living Center 1036 West Drive Laurel, MS 39440