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Complaint Investigation

Laurels Of West Carrollton The

September 9, 2025 · West Carrollton, OH · 115 Elmwood Circle
Citations 12
CMS Rating 2/5
Beds 88
Provider ID 365598
Healthcare Facility
Laurels Of West Carrollton The
West Carrollton, OH  ·  View full profile →
Inspection Summary

LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH — inspection on September 9, 2025.

Found 12 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.

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Inspection Findings

FF0554
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0554 during a standard health inspection conducted on 2025-09-09.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Allow residents to self-administer drugs if determined clinically appropriate.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

During a phone interview on 09/05/2025 at 11:30 AM, LPN #8 stated she could not remember which day it was, but Resident #101 asked for their wallet, and she could not find the wallet in her assigned medication cart or in the resident's room.

She stated she never saw Resident #101's wallet.

During an interview on 09/05/2025 at 1:23 PM, the ADM stated that when she came to the facility after the prior ADM left without notice, she was made aware of the situation with Resident #101 and the missing money.

The ADM said she started an investigation on 06/12/2025.

She stated staff were aware the money was missing on 05/30/2025 (when LPN #17 returned to work).

She stated that on around 06/06/2025, Resident #101 asked for their money, and no one was able to locate the money.

The ADM stated the resident's money was never located.

She stated that throughout her investigation, she was unable to determine what happened to Resident #101's money or who took the money.

She stated they interviewed staff after pulling the schedule to see who was assigned to the medication cart where the money was placed.

She stated they searched the cart, contacted the police, interviewed other residents and family members, provided education on abuse prohibition, then replaced the money.

Per the ADM, they did not substantiate the allegation of misappropriation of property. A facility policy titled, Abuse Prohibition Policy, effective 10/14/2022, indicated, Each guest/resident shall be free from abuse, neglect, mistreatment, exploitation, and misappropriation of property.

This deficiency represents non-compliance investigated under Incident 1346629.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Laurels of West Carrollton The

115 Elmwood Circle West Carrollton, OH 45449

SUMMARY STATEMENT OF DEFICIENCIES

deficiency represents non-compliance investigated under Incident 1346629.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/09/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Laurels of West Carrollton The

115 Elmwood Circle West Carrollton, OH 45449

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0610 during a complaint investigation conducted on 2025-09-09.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Respond appropriately to all alleged violations.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

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Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-09-09.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-09.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-09-09.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-09.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

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Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-09-09.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-09-09.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-09.

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 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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

Federal health inspectors cited LAURELS OF WEST CARROLLTON THE in WEST CARROLLTON, OH for a deficiency under regulatory tag F-F0926 during a standard health inspection conducted on 2025-09-09.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Have policies on smoking.

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 12 deficiencies cited during this inspection of LAURELS OF WEST CARROLLTON THE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-11-01.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WEST CARROLLTON, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAURELS OF WEST CARROLLTON THE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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