Average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Landmark Of Laurel Creek Rehabilitation And Nursin during CMS and state inspections, most recent first.
A resident admitted for short-term rehabilitation with multiple medical conditions, including recent orthopedic surgery and a history of cancer, did not have a baseline care plan developed within 48 hours to address immediate needs such as pain management. Despite having an active order for Oxycodone for severe pain, the absence of a timely care plan led to unmanaged pain and inability to participate in therapy.
Three residents requiring oxygen therapy did not receive care consistent with physician orders and facility policy. Two residents had oxygen administered at higher rates than ordered, lacked proper humidification, and had unbagged nebulizer tubing at their bedside. Another resident's oxygen tubing was found on the floor and reconnected without cleaning or replacement. Staff interviews confirmed these actions were not in line with expected practices.
A resident with orthopedic and oncologic history did not receive pain medication as ordered, resulting in unmanaged pain and missed therapy. Staff misinterpreted the duration of the pain medication order, withheld medication, and failed to document administration accurately, despite the care plan requiring pain assessment and medication as needed.
An LPN administered an expired nutritional supplement to a resident after retrieving it from a refrigerator, not realizing it should have been discarded per manufacturer guidelines. The facility's policy lacked specific instructions for labeling or discarding nutritional supplements, and the resident had significant cognitive impairment and multiple medical diagnoses. The DON confirmed staff are expected to follow manufacturer recommendations for storage and disposal.
Staff failed to follow infection control protocols, including not performing hand hygiene after glove removal and not removing cleaning carts during meal service. Additionally, shared medical equipment such as Hoyer lifts was not cleaned or disinfected between use with different residents, contrary to facility policy. These lapses were observed despite staff awareness of the required procedures.
Failure to Develop Baseline Care Plan for Pain Management Within 48 Hours of Admission
Penalty
Summary
The facility failed to develop and implement a baseline care plan within 48 hours of admission for one resident, as required by facility policy and professional standards. The resident was admitted with multiple diagnoses, including chronic obstructive pulmonary disease (COPD), orthopedic aftercare, presence of a right artificial hip joint, history of malignant neoplasm of the ovary, and osteoarthritis. Despite these complex medical needs, there was no evidence that a baseline care plan was completed to address the resident's immediate needs, particularly regarding pain management, within the required timeframe. Record review showed that the resident had an active physician order for Oxycodone 10 mg every 4 hours as needed for severe pain, starting from the day of admission. However, the baseline care plan did not include instructions or interventions for pain management within the first 48 hours. The resident reported receiving the medication as ordered until being informed by nursing staff that the order was only for three days, after which the medication was withheld. The lack of a timely baseline care plan resulted in the resident experiencing unmanaged pain, which prevented participation in therapy.
Failure to Provide Safe and Appropriate Respiratory Care
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care to three residents who required oxygen therapy, as evidenced by multiple deviations from physician orders and facility policy. Two residents had physician orders for oxygen administration at two liters per minute, but observations revealed their oxygen concentrators were set at higher rates (three and four liters per minute, respectively). Additionally, one resident's oxygen concentrator had an empty water container, and another had no water container attached, contrary to the facility's policy requiring humidification. Both residents also had nebulizer tubing at their bedside that was not bagged when not in use, increasing the risk of contamination. Interviews with the residents indicated they were unaware of the issues with their oxygen equipment, and staff interviews confirmed the discrepancies between the orders and the care provided. Another resident, who had a diagnosis of Chronic Obstructive Pulmonary Disease and diabetes, was observed with a nasal cannula in place, but the tubing was disconnected from the concentrator and lying on the floor. When staff were notified, an LPN reconnected the tubing to the concentrator without cleaning, sanitizing, or replacing it, despite acknowledging the risk of contamination. Staff interviews confirmed that oxygen settings, tubing, and humidification should be checked every shift, and that tubing should be replaced if contaminated. The Director of Nursing stated that her expectation was for staff to follow physician orders and facility policy regarding oxygen administration.
Failure to Provide Ordered Pain Management
Penalty
Summary
The facility failed to provide pain management as ordered for a resident with a history of orthopedic aftercare, right artificial hip joint, history of malignant neoplasm of ovary, and osteoarthritis. The resident's care plan included interventions to administer pain medications as ordered and to assess pain as needed. Physician orders specified Oxycodone 10 mg every four hours as needed for severe pain. Documentation showed that the medication was administered on one occasion, but subsequent doses were not recorded on the Medication Administration Record (MAR) despite being signed out on the controlled drug record. On one occasion, the resident was observed tearful and reported being unable to attend therapy due to pain, stating she was told her pain medication order had expired and was awaiting a refill from her physician. The Unit Manager initially stated the pain medication order was for three days and had ended, and described the resident as drug seeking. Later, the Unit Manager clarified that the order had no stop date and sought clarification from the physician. The Director of Nursing confirmed that nurses are expected to follow physician orders and assess pain as needed. The failure to administer pain medication as ordered and to accurately document administration resulted in the resident experiencing unmanaged pain and missing therapy.
Expired Nutritional Supplement Administered Due to Labeling and Storage Oversight
Penalty
Summary
A Licensed Practical Nurse (LPN) administered Med-Pass 2.0, a nutritional supplement, to a resident from a multi-dose carton that had been opened and stored beyond the manufacturer's recommended timeframe for safe consumption. The carton was labeled with an open date, and the manufacturer's instructions specified that the product should be consumed within four days if refrigerated. The LPN was observed pouring the supplement for the resident and later stated she was unsure of the correct discard timeframe, mistakenly believing it to be 30 days after opening. She acknowledged that the product should have been disposed of earlier and that administering expired Med-Pass could cause gastrointestinal issues. The facility's medication storage policy did not include instructions for labeling or discarding nutritional supplements. The resident who received the expired supplement had a history of intellectual disabilities, atrial fibrillation, and postural kyphosis, and was unable to participate in a mental status assessment due to poor cognitive status. The Director of Nursing confirmed that staff are expected to follow both facility policy and manufacturer recommendations for storage and disposal of such products.
Failure to Maintain Effective Infection Control Practices
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program as evidenced by multiple lapses in infection control practices. During a lunch meal observation, a housekeeper was seen cleaning the residents’ hallway while meal trays were being distributed. The cleaning cart, which contained dirty items and garbage, was parked in the hallway near the tray cart, and the housekeeper disposed of gloves and proceeded to handle other items without performing hand hygiene. The housekeeper acknowledged awareness of the need to remove the cleaning cart before meal service and to perform hand hygiene after glove removal, but did not follow these procedures. The Infection Preventionist confirmed that staff were trained on hand hygiene and that cleaning carts should not be present during meal service due to infection control concerns. Additionally, improper cleaning of shared medical equipment was observed. After a resident with hemiplegia and contractures was transferred using a Hoyer lift, the lift was placed in a common area without being cleaned or disinfected between uses. Facility policy required cleaning and disinfecting reusable equipment between residents, especially for those with wounds or indwelling devices, but staff reported that the Hoyer lifts were only cleaned at the end of the day and not between residents. The Infection Preventionist stated that the expectation was to follow the infection control policy regarding multi-use device cleaning.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 6 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Manchester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Signature Healthcare At Jackson Manor Rehab And We | 12.1 mi | ★★★★★ | 0 | 0 |
| Owsley County Health Care Center, Inc. | 16.1 mi | ★★★★★ | 0 | 0 |
| Laurel Heights Home For The Elderly | 19 mi | ★★★★★ | 0 | 0 |
| Hyden Health And Rehabilitation Center | 22.4 mi | ★★★★★ | 0 | 0 |
| Lee County Care & Rehabilitation Center | 23.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Landmark Of Laurel Creek Rehabilitation And Nursin.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.