Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Laurel Park Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
A severely cognitively impaired resident with dementia and behavioral issues was physically restrained by a private caregiver, who forced medications into her mouth and held her down to prevent resistance. Despite the nurse's instruction to stop, the caregiver continued restraining the resident until the nurse returned and administered an IM antipsychotic as a chemical restraint. The resident was later found to have a small bruise on her lip, and staff interviews confirmed the use of both physical and chemical restraints during the incident.
A facility-wide assessment failed to include cultural considerations for residents, did not specify staffing needs for each shift or adjust for changes in the resident population, and omitted evaluation of contracted services for care provision. The Administrator was unaware of the requirements, and these deficiencies had the potential to affect all residents.
The facility did not provide written information or education about advance directives to most residents or their representatives, as required. Despite having residents with various serious medical conditions and both full code and DNR orders, there was no documentation of advance directive discussions or opportunities to formulate one. Staff interviews confirmed that advance directive education was not routinely offered during admission, and the responsibility for this process was unclear among staff.
Multiple resident rooms were found to be inadequately cleaned, with sticky floors, strong urine odors, and accumulated debris around baseboards and under furniture. Residents repeatedly voiced concerns about poor housekeeping practices, including insufficient sweeping and mopping, and unemptied trash. Staff interviews confirmed lapses in following cleaning schedules and communication gaps regarding maintenance issues.
Two residents were not given the opportunity to participate in their person-centered care plan meetings, as required. One resident with moderate cognitive impairment was not invited to a care plan meeting between quarterly reviews, and another cognitively intact resident could not recall ever attending a care plan meeting. The Social Worker, responsible for scheduling these meetings, admitted to being behind, and both the DON and Administrator confirmed the lapse in timely scheduling and invitations.
A resident with dementia and bipolar disorder was not accurately coded on the MDS for tobacco use and use of a wander/elopement alarm, despite documented assessments, care plans, and physician orders indicating the need for supervision while smoking and a wander guard device. The MDS Nurse missed these areas during assessment coding, and the error was confirmed through observation and interviews.
A resident with moderate cognitive impairment and new physician's orders for hearing aid use did not have her care plan updated to reflect this intervention. Despite daily clinical meetings and staff awareness of the resident's hearing aid use and refusals, the omission was not addressed, resulting in the care plan lacking necessary information about her hearing needs.
A resident admitted with a bone infection did not receive several scheduled doses of IV cefazolin as ordered due to delays in medication delivery from the pharmacy and lack of availability in the emergency dose kit. Nursing staff documented missed doses, contacted the pharmacy, and confirmed the medication was not on site, while the resident expressed concern about the missed antibiotics. The DON and Medical Director acknowledged the absence of an effective system to ensure timely access to IV antibiotics for new admissions.
A resident with a history of neuromuscular bladder dysfunction and a spinal fracture was readmitted with an indwelling urinary catheter, but the facility failed to obtain a physician order for the catheter's use and care. Nursing staff were unclear about who was responsible for reactivating or entering the order, and the omission was not identified during clinical review. Both the DON and Medical Director confirmed that a physician order was required.
A resident admitted with a bone infection did not receive four scheduled doses of IV cefazolin antibiotic because the medication was not available in the facility following admission. Nursing staff documented the missed doses, citing delays in pharmacy delivery and lack of availability in the backup medication system. The DON explained that medication orders for new admissions could not be activated until the resident arrived, leading to delays, especially for late evening admissions.
The facility did not provide required written transfer or discharge notices to residents or their representatives when residents were sent to the hospital, nor did it properly complete bed hold policy documentation or notify the Ombudsman as required. Staff interviews revealed confusion and lack of awareness regarding responsibilities for these notifications and documentation.
Two residents did not receive a written summary of their baseline care plan and medication list within the required timeframe after admission. One resident had severe cognitive impairment and the other was cognitively intact. In both cases, the Social Worker responsible for providing the documentation acknowledged falling behind, and neither the DON nor the Administrator were aware that the information had not been given.
The facility failed to conduct and document care plan meetings for three residents, including a cognitively intact resident with fractures, a moderately impaired resident post-stroke, and another resident who had not attended a meeting since 2021. The lack of meetings was due to scheduling and documentation issues, with responsibilities not clearly assigned after staff changes.
The facility was found to have unclean kitchen equipment, including skillets and baking sheets with grease buildup, and an ice scoop holder with mold. Observations were made over several days, and staff interviews revealed unclear responsibilities for cleaning tasks.
A facility failed to document a resident's prescribed medications, Apixaban and Humalog insulin, in the baseline care plan upon admission. Despite receiving these medications, the care plan was left unmarked, an oversight acknowledged by the nurse and the Assistant Director of Nursing. The DON confirmed the error, noting it could have been corrected during the 72-hour care plan meeting.
A resident with impaired vision did not receive meals in bowls as specified in their care plan, leading to a deficiency in nutritional care. Despite a physician's order and care plan instructions, the resident's lunch was served on a flat plate. Staff interviews confirmed the oversight, acknowledging that the care plan required meals to be served in bowls to aid the resident's self-feeding.
A resident with chronic heart and respiratory failure was admitted without a documented physician order for supplemental oxygen, despite receiving it to maintain oxygen saturation. The facility also failed to place required 'Oxygen in use, no smoking' signage outside the resident's room. Nursing staff and the DON confirmed these oversights, acknowledging the absence of necessary documentation and signage.
A resident with impaired vision did not receive meals in bowls as ordered by the physician, leading to a deficiency in care. Despite being aware of the requirement, the facility staff served the resident's lunch on a flat plate, and the nursing staff did not verify the meal setup before serving. The Director of Rehab and Dietary Manager confirmed the oversight, and the Director of Nursing acknowledged the failure to follow the care plan.
Resident Subjected to Physical and Chemical Restraint by Private Caregiver and Staff
Penalty
Summary
A severely cognitively impaired resident with diagnoses including metabolic encephalopathy, Alzheimer's disease, dementia with behaviors, and anxiety disorder was subjected to both physical and chemical restraint during an incident involving a private duty caregiver and facility staff. The resident, who had a history of refusing medications, was approached by a nurse to take her scheduled medication, which she refused. The private duty caregiver then intervened, attempting to force the medications into the resident's mouth, holding her hand over the resident's mouth to force her to swallow, and physically restraining the resident by placing her leg over the resident's legs to prevent kicking. The nurse instructed the caregiver to stop but left the room to call the on-call provider, during which time the caregiver continued to restrain the resident. Upon the nurse's return, the resident was still being physically restrained by the caregiver. The nurse then administered an intramuscular antipsychotic medication (Haldol) to the resident as a chemical restraint to calm her. Following the incident, a skin assessment revealed a small bruise on the resident's lower lip, and the resident was noted to have multiple bruises on her upper extremities, though some predated the incident. Interviews with staff confirmed the sequence of events, including the use of both physical and chemical restraints by the caregiver and nurse, respectively. The incident was witnessed by multiple staff members, including a nursing assistant who corroborated the use of force and restraint by the caregiver. The Director of Nursing and Medical Director were notified and assessed the resident after the event, noting the presence of bruising but no ongoing pain or decline in physical functioning. The administrator was also informed and confirmed the details of the incident, including the inappropriate actions of the private caregiver and the subsequent administration of a chemical restraint by nursing staff.
Incomplete Facility Assessment Omits Cultural, Staffing, and Contracted Service Considerations
Penalty
Summary
The facility failed to conduct and document a comprehensive facility-wide assessment as required. The assessment did not include any cultural considerations to address the specific needs of the resident population. Additionally, the staffing plan only listed the desired number of full-time equivalent (FTE) nurses and CNAs, without specifying staffing needs for each shift, including nights and weekends, or adjusting for changes in the resident population. The facility assessment also did not evaluate or document the contracted services used to provide necessary care, such as goods, medical services, facility management, emergency services, transportation, and dialysis. During an interview, the Administrator acknowledged missing the cultural consideration section and was unaware of the requirement to detail shift-specific staffing and contracted services in the assessment. These omissions had the potential to affect all 88 residents in the facility.
Failure to Provide Advance Directive Information and Education
Penalty
Summary
The facility failed to provide written information and education regarding advance directives to residents and their representatives, as required. Record reviews for 19 out of 22 residents revealed that there was no documentation indicating that residents or their representatives were given information about advance directives or offered the opportunity to formulate one. This deficiency was identified regardless of the residents' code status, which included both full code and do not resuscitate (DNR) orders, and spanned a range of medical conditions such as heart failure, diabetes, hypertension, chronic kidney disease, dementia, and others. Interviews with facility staff further confirmed the lack of compliance with advance directive requirements. The Admissions Director stated that while a blank template for advance directives was available, it was not routinely discussed with residents or their representatives during the admission process. Instead, the Admissions Director only reviewed existing advance directives from the hospital if provided and verified code status from the discharge summary. There was no process in place to ensure that all residents were educated about or given the opportunity to create an advance directive upon admission. The Social Services Director acknowledged only recently becoming aware that providing advance directive education was her responsibility. The Administrator also confirmed that the need for advance directive education had not been previously identified and that it had been missed. The responsibility for ensuring advance directive discussions and documentation was assigned to the Social Services Director, but this process was not being followed at the time of the survey.
Failure to Maintain Clean and Homelike Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable environment for residents, as evidenced by multiple observations and resident interviews. Six resident rooms on one hall were found to have issues such as sticky floors, strong urine odors, encrusted brown matter, trash, and dust accumulation around baseboards and under furniture. Residents consistently reported concerns over several months in Resident Council meetings, noting that housekeeping staff were not adequately sweeping, mopping, or cleaning under beds and furniture, and that trash was sometimes left unemptied. Specific rooms were observed to have additional structural issues, including broken floor tiles, holes in walls, missing caulk, and damaged drywall. Interviews with residents confirmed dissatisfaction with the cleanliness of their rooms, with several stating that housekeeping did not clean thoroughly, particularly under beds and around furniture, and that floors remained sticky and stained. Some residents reported having to request that housekeepers clean specific areas, such as under bedside commodes, and noted persistent odors and visible debris. These concerns were echoed repeatedly in Resident Council meeting minutes over a period of nearly a year, indicating an ongoing problem rather than isolated incidents. Staff interviews revealed that the Housekeeping Director was responsible for ensuring cleanliness and described a daily cleaning routine that included sweeping, mopping, and bathroom cleaning, as well as a deep cleaning schedule that was not being accurately followed. The Maintenance Director stated that room issues were to be reported through an online system, but was unaware of some of the specific structural problems observed. The Administrator acknowledged that the deep cleaning schedule was not being properly implemented and that management staff were expected to report housekeeping and maintenance issues during daily rounds.
Failure to Involve Residents in Care Plan Meetings
Penalty
Summary
The facility failed to ensure that two residents were given the opportunity to participate in the development and implementation of their person-centered care plans. For one resident with moderate cognitive impairment, there was no documentation of a care plan meeting or invitation to participate between two quarterly reviews, despite the resident expressing a desire to attend such meetings when able. The Social Worker acknowledged being behind in scheduling care plan meetings and confirmed that the required meeting had not been scheduled. The MDS Nurse and DON both indicated that the Social Worker was responsible for scheduling these meetings, but the process was not completed as required. For another resident who was cognitively intact, there was no documentation of a care plan meeting or invitation since admission, and the resident could not recall ever attending such a meeting. The Social Worker stated that the last care plan meeting attended by this resident was several months prior and admitted to being behind in scheduling meetings for the current year. Both the DON and Administrator confirmed that the Social Worker was responsible for scheduling and inviting residents to care plan meetings and acknowledged that meetings had not been held in a timely manner.
Inaccurate MDS Coding for Smoking and Elopement Alarm
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for one resident in the areas of smoking and elopement alarms. The resident, who had diagnoses including dementia without behavioral disturbances and bipolar disorder, was assessed as requiring supervision while smoking and had a care plan updated to reflect this status. Additionally, there was a physician order and documentation for a wander guard (elopement alarm) device, with corresponding care plan interventions for elopement risk. Despite these documented needs and interventions, the MDS admission assessment did not reflect the resident's tobacco use or the use of a wander/elopement alarm. Observations and interviews confirmed the resident was a smoker and was wearing a wander guard device. The MDS Nurse acknowledged missing the coding for tobacco use and wander guard, stating she did not see the order for the wander guard and overlooked the tobacco use section during assessment coding. The Administrator confirmed that the MDS Nurse was responsible for ensuring the accuracy of the resident's assessment coding.
Care Plan Not Updated for Hearing Aid Use
Penalty
Summary
The facility failed to update the care plan to include the use of hearing aids for a resident who had recently been evaluated by audiology and received physician's orders for hearing aid use. The resident was admitted to the facility and subsequently assessed as having moderate cognitive impairment, with documentation indicating she wore hearing aids and had adequate hearing. Despite this, the care plan updated on 3/19/25 did not address hearing loss or the use of hearing aids, even though physician's orders specified the devices should be inserted each morning and removed at bedtime. Observations revealed the resident was not wearing her hearing aids, and interviews with the resident and staff confirmed she had recently started using them but often refused due to discomfort. The MDS nurse acknowledged missing the assessment and failing to update the care plan, despite daily discussions of resident assessments in morning meetings. Both the DON and Administrator confirmed that care plans were expected to be reviewed and updated during these meetings, but the omission was not identified or corrected.
Failure to Provide Timely IV Antibiotic Therapy for New Admission
Penalty
Summary
The facility failed to ensure that intravenous (IV) antibiotic medication was available and administered as ordered for a newly admitted resident with a diagnosis of osteomyelitis of the left ankle and foot. The resident was admitted with a physician's order for cefazolin 2 grams IV every 8 hours for 42 days. Upon admission, the resident had IV access in place, but the ordered antibiotic was not available for several scheduled doses. Documentation in the Medication Administration Record (MAR) indicated missed doses, with notes from nursing staff stating the medication was on order or awaiting delivery from the pharmacy. Multiple nursing staff interviews confirmed that the medication was not available at the facility at the time of admission and for subsequent scheduled doses. Nurses reported contacting the pharmacy, which indicated that the medication would be delivered on the next run, but it was not included in the initial deliveries. The emergency dose kit at the facility did not contain IV cefazolin, and staff were unaware of its availability in the kit. The resident expressed concern about missing several doses of the antibiotic and reported notifying nursing staff about the missed medication. Interviews with the pharmacist revealed that the pharmacy had a cut-off time for sending IV antibiotics for new admissions, and delays could occur if residents were admitted after this time or due to pharmacy staffing or documentation issues. The Medical Director and Director of Nursing acknowledged the lack of an effective system to ensure timely availability of medications for new admissions, particularly for IV antibiotics. The administrator was not aware of any issues with timely delivery of IV medications for new admissions.
Failure to Obtain Physician Order for Indwelling Urinary Catheter
Penalty
Summary
A deficiency occurred when the facility failed to obtain a physician order for the use and care of an indwelling urinary catheter for a resident who was readmitted with a history of neuromuscular dysfunction of the bladder and a spinal fracture. The resident had an indwelling urinary catheter in place during a recent hospital stay and at the time of discharge, and the care plan included interventions for catheter management. However, upon review of the facility's records, there was no physician order for the indwelling urinary catheter or its care after readmission. Interviews with nursing staff revealed confusion and miscommunication regarding responsibility for reactivating or entering the necessary orders for the catheter. One nurse believed the oncoming nurse would reactivate the orders, while the other nurse thought it was the first nurse's responsibility. Both the Medical Director and the DON confirmed that a physician order was required for the catheter, and the omission was acknowledged as an oversight during the facility's clinical morning meeting. The administrator also confirmed that nursing was responsible for ensuring physician orders were in place for catheter care.
Missed IV Antibiotic Doses Due to Medication Unavailability on Admission
Penalty
Summary
A deficiency occurred when a resident admitted with osteomyelitis of the left ankle and foot did not receive four scheduled doses of intravenous cefazolin antibiotic as ordered by the physician. The medication was to be administered every eight hours, but was not given at four scheduled times due to the medication not being available in the facility. Nursing staff documented the missed doses, citing reasons such as the medication being on order, not yet delivered from the pharmacy, or awaiting arrival. Multiple nurses confirmed in interviews that the cefazolin was not available for administration and that they either contacted the pharmacy or expected the medication to arrive later. The backup medication dispensing system did not contain cefazolin, and not all staff contacted the pharmacy to check on the delivery status. The resident, who was cognitively intact and had intravenous access, reported missing several doses of the antibiotic upon admission. The physician was notified of the missed doses and adjusted the medication schedule to ensure the total prescribed doses would be administered. The DON explained that new admission orders could not be activated until the resident arrived, which sometimes led to delays in medication delivery, especially for late evening admissions. The administrator confirmed that the DON was responsible for ensuring the availability of IV antibiotics as ordered.
Failure to Provide Required Written Notifications and Bed Hold Documentation During Hospital Transfers
Penalty
Summary
The facility failed to provide required written notifications and documentation related to resident transfers and discharges to the hospital. For three residents reviewed, there was no evidence that written transfer or discharge notices were given to the residents or their representatives at the time of hospitalization. In each case, the medical records lacked documentation of these notices, and interviews with staff confirmed that written notifications were not provided, although phone calls were sometimes made to inform resident representatives. Additionally, the facility did not properly complete the bed hold policy documentation. For one resident, the bed hold form was signed by the resident representative, but critical sections such as the dates of hospitalization and the acceptance or declination of the bed hold were left incomplete. The business office manager indicated that her involvement with the bed hold policy was limited to payment discussions if the resident or representative expressed interest, and that nursing staff sent the form with the resident by default. There was confusion among staff regarding responsibility for follow-up and completion of the bed hold process. The facility also failed to notify the Ombudsman in writing of resident transfers or discharges to the hospital. The social worker acknowledged that the required transfer/discharge list had not been sent to the Ombudsman for the relevant month, citing being behind on this task. Staff interviews revealed a lack of awareness regarding the requirement to send written notices to residents, representatives, and the Ombudsman, contributing to the deficiency.
Failure to Provide Baseline Care Plan and Medication List to Residents
Penalty
Summary
The facility failed to provide a written summary of the baseline care plan and medication list to residents or their responsible parties within the required timeframe for two out of four residents reviewed. One resident with severe cognitive impairment was admitted and neither the resident nor the responsible party received documentation regarding the care plan or medications. The responsible party, who visited almost daily, confirmed not receiving any information about the plan of care or medications. The electronic health record also lacked documentation of this requirement being met. Similarly, another resident who was cognitively intact did not receive a written summary of the baseline care plan or medication list after admission. The resident confirmed not receiving any documentation about the plan of care or medications. In both cases, the Social Worker, who was responsible for providing these documents, acknowledged falling behind in the process. The DON and Administrator were unaware that the required information had not been provided to the residents or their responsible parties.
Deficiencies in Care Plan Meetings for Residents
Penalty
Summary
The facility failed to conduct and document care plan meetings for three residents, leading to deficiencies in care planning. Resident #86, who was cognitively intact and admitted with multiple fractures, did not have a care plan meeting held within the required timeframe. Although a baseline care plan was signed by the Assistant Director of Nursing, there was no documentation of a 72-hour care plan meeting, and the MDS Nurse confirmed that no such meeting was conducted. The facility attempted to contact the resident's contact person but was unsuccessful, and the Admission Director was unable to provide evidence of a scheduled meeting. Resident #38, admitted with a stroke and later identified as moderately cognitively impaired, also did not have a documented care plan meeting following admission. The baseline care plan lacked signatures, and there was no record of a care plan meeting in the resident's electronic medical record. Interviews with the resident and staff revealed that no care plan meeting was held, and the Admission Director could not locate any documentation to confirm a meeting had occurred. Resident #26, who was cognitively intact and admitted with a stroke, had not attended or been invited to a care plan meeting since 2021, despite multiple MDS assessments being completed. The facility's previous Social Worker was responsible for scheduling these meetings, but after their departure, the meetings were not conducted. The Administrator was unaware of the lapse in care plan meetings until it was brought to her attention, and the Admissions Director was working to address the backlog of unscheduled meetings.
Facility Fails to Maintain Cleanliness of Kitchen Equipment and Ice Machine
Penalty
Summary
The facility failed to maintain cleanliness standards in their kitchen and ice machine areas, as observed during multiple inspections. Specifically, two out of four skillets and nine out of fifteen baking sheets were found with grease buildup, indicating they were not properly cleaned before being stored for use. These observations were made on three separate occasions, suggesting a persistent issue with maintaining dishware cleanliness. Additionally, an ice scoop holder was found with standing water and mold, which could potentially contaminate the ice served to residents. Interviews with facility staff revealed a lack of clarity regarding responsibilities for cleaning and maintaining equipment. The Certified Dietary Manager indicated that hall staff were responsible for the ice machine and scoop holder, while the Administrator stated that all staff were responsible for these tasks. This inconsistency in understanding roles may have contributed to the oversight in maintaining cleanliness, as evidenced by the repeated observations of unclean equipment.
Failure to Document Medications in Baseline Care Plan
Penalty
Summary
The facility failed to develop and implement an individualized person-centered baseline care plan for a resident who was admitted with diagnoses including Diabetes Mellitus, pulmonary embolism, and deep vein thrombosis. The resident had physician's orders for Apixaban, an anticoagulant, and Humalog insulin, a medication used to manage blood glucose levels. Despite these orders, the baseline care plan did not reflect the administration of these medications, as the medication section was left unmarked. Interviews with facility staff revealed that the resident was receiving the prescribed medications upon admission, and both the nurse responsible for completing the baseline care plan and the Assistant Director of Nursing acknowledged the oversight. The Director of Nursing confirmed that the medications should have been marked on the baseline care plan, and noted that the inaccuracy could have been corrected during the resident's 72-hour care plan meeting if it had been identified at that time.
Failure to Implement Individualized Care Plan for Visually Impaired Resident
Penalty
Summary
The facility failed to implement an individualized person-centered care plan for a resident with impaired vision, leading to a deficiency in nutritional care. The resident, who was cognitively intact but had highly impaired vision, was readmitted to the facility with a physician's order specifying that all meals should be served in individual bowls to aid in self-feeding. Despite this order being included in the resident's care plan, an observation revealed that the resident's lunch was served on a flat plate, contrary to the care plan's instructions. The resident confirmed that her meal should have been served in bowls, and although a new meal was offered, she declined it. Interviews with facility staff, including the Director of Rehab, Nurse Aide #1, the MDS Nurse, the Director of Nursing, and the Administrator, confirmed the oversight. The Director of Rehab had previously communicated the need for meals to be served in bowls to the Dietary Manager, and the MDS Nurse acknowledged that the care plan required meals to be served in bowls due to the resident's impaired vision. The Director of Nursing and the Administrator both stated that the care plan should have been followed, and the nursing staff should have ensured the meal was served as ordered.
Failure to Document Oxygen Orders and Signage
Penalty
Summary
The facility failed to obtain a physician order for the use of supplemental oxygen for a resident, identified as Resident #292, who was admitted with chronic heart failure and chronic respiratory failure. Upon admission, the resident was receiving oxygen at 2 liters per minute via nasal cannula, as per discharge orders to maintain oxygen saturation above 90%. However, there was no physician order documented in the resident's medical record for the use of oxygen therapy. On a subsequent occasion, the resident's oxygen saturation dropped to 80%, prompting an increase in oxygen to 3 liters per minute, which was also not documented in the physician's orders. Additionally, the facility failed to place appropriate signage indicating the use of oxygen outside the resident's room. Observations revealed that there was no 'Oxygen in use, no smoking' sign outside the resident's room, despite the resident continuously using oxygen. Interviews with nursing staff and the Director of Nursing confirmed the absence of the required physician order and signage, acknowledging that these should have been in place upon the resident's admission or when the need for oxygen was recognized.
Failure to Provide Adaptive Eating Equipment
Penalty
Summary
The facility failed to provide the necessary adaptive equipment for a resident with highly impaired vision, as ordered by the physician. The resident, who was cognitively intact, required all meals to be served in bowls to aid with self-feeding due to decreased vision. However, during an observation, it was noted that the resident's lunch was served on a flat plate, contrary to the physician's order. The resident confirmed that her meal should have been served in bowls, and although a new meal was offered, she declined. Interviews with staff revealed a breakdown in communication and adherence to the resident's care plan. The Director of Rehab had informed the previous Dietary Manager about the need for meals to be served in bowls, and the current Dietary Manager was aware of this requirement. Despite this, the lunch was not served correctly, and the nursing staff failed to double-check the meal before serving it. The Director of Nursing and the Administrator acknowledged that the plan of care was not followed, and the meal should have been provided in bowls as ordered.
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 10 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 Elizabeth City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Elizabeth City Health And Rehabilitation | 1.1 mi | ★★★★★ | 6 | 0 |
| Hertford Rehabilitation And Healthcare Center | 15.2 mi | ★★★★★ | 0 | 0 |
| Currituck Health & Rehab Center | 16.3 mi | ★★★★★ | 4 | 0 |
| Chowan River Nursing And Rehabilitation Center | 24.6 mi | ★★★★★ | 0 | 0 |
| Gates Health And Rehabilitation Center | 28.5 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Laurel Park Rehabilitation And Healthcare Center.
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.