Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Bay Health & Rehabilitation Center during CMS and state inspections, most recent first.
A deficiency was cited due to the facility not ensuring an area was free from accident hazards and not providing adequate supervision to prevent accidents. The report highlights that the environment did not meet required safety standards.
Three residents with cognitive impairments and elopement risk had care plan interventions, including participation in a walker's club and posting of their pictures at key locations, that were not implemented. Staff interviews confirmed that the interventions were not carried out, pictures were not posted as required, and the walker's club was not conducted, despite these being documented in the care plans.
Nursing staff did not consistently document the placement of a resident's wander guard bracelet on the TAR as required by physician order and facility policy. For several shifts, documentation was missing, despite the expectation that nurses check and record the device's placement every shift. The DON confirmed the lapses in documentation, which were identified through review of medical records and facility policy.
The facility failed to handle potentially hazardous food safely and maintain sanitation, as observed by surveyors. Items in the Drink and Storage Refrigerators, as well as the dry storage area, lacked proper labeling with preparation or use-by dates. The nourishment refrigerator and freezer were unsanitary, with spillage, frost buildup, and unidentified food items. Interviews revealed confusion over responsibilities for cleanliness and expiration checks, and facility policies were not followed.
The facility's call bell system failed to notify staff of activation for a resident's bed, as observed during a survey. The DOM confirmed the system's failure to provide visual or audible alerts, indicating the need for a replacement of the call bell button.
Surveyors identified deficiencies in maintaining a clean and safe environment in the facility. Observations included water and spilled milk on floors, missing trash can liners, brown stains, and missing tiles in shower rooms. The DON and DOH acknowledged daily cleaning routines, but the facility lacked a policy on environmental conditions.
The facility failed to manage and document indwelling catheters properly for two residents. One resident's urinary drainage bag was not in a privacy bag and touched the floor, with no physician orders documented. Another resident's catheter bag was improperly secured, and urinary output was not consistently documented. Staff interviews confirmed the importance of securing drainage bags below bladder level and maintaining documentation, but these practices were not followed.
The facility failed to ensure call devices were within reach for two residents, as required by policy. One resident's device was found on the floor, and the resident had difficulty locating it. Another resident, with moderate cognitive impairment and a fall risk, also had their device out of reach. Staff confirmed the importance of accessible call devices, yet the policy was not followed.
A resident with moderate cognitive impairment was observed with an elopement device, yet their MDS inaccurately indicated no such device was in place. The resident's medical records showed a physician's order for the device, but the MDS was incorrectly coded, failing to reflect this, contrary to facility policy.
A facility failed to update a care plan for a resident with an indwelling catheter. The resident, diagnosed with functional quadriplegia and dementia, was observed with a urinary drainage bag attached to the bed frame. The care plan lacked documentation for catheter care, which the DON acknowledged should have been updated. Facility policy mandates care plan revisions after assessments and significant changes.
A facility failed to follow a physician's order for the placement of an elopement device on a resident at risk for elopement. The device was observed on the left ankle instead of the right, as ordered. Despite this, the Treatment Administration Record was inaccurately signed off, indicating compliance. The resident had a history of breast cancer, anxiety, and depression, with moderate cognitive impairment.
The facility failed to implement fall prevention measures for two residents identified as fall risks. Despite physician orders and facility policy requiring fall mats to be placed beside the beds, observations showed the mats were folded and placed against the wall. Staff interviews confirmed awareness of the protocols, but they were not consistently followed.
The facility failed to adhere to professional standards for respiratory care by leaving masks and tubing uncontained and exposed to air, contrary to infection control protocols. Residents with significant respiratory conditions had their equipment improperly stored, as confirmed by staff interviews and facility policy reviews.
The facility failed to implement Enhanced Barrier Precautions (EBP) on one floor, as observed by surveyors. A room with an EBP sign lacked a designated trash bin for used PPE, contrary to staff interviews and facility policy. Additionally, a treatment cart was improperly brought into a resident's room on EBP for a Multi-Drug Resistant Organism (MDRO), against facility policy. The resident had a wound and a suprapubic catheter, with physician orders to maintain EBP.
The facility failed to document and timely administer influenza vaccinations for two residents, one with Diabetes Mellitus and Metabolic Encephalopathy, and another with Functional Quadriplegia and Dementia. The Infection Preventionist admitted to missing the vaccinations, which were given later than the facility's policy required.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified in the facility's failure to ensure that an area was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which could contribute to accidents occurring. Specific actions or inactions by staff or details about the residents involved are not provided in the report.
Failure to Implement Elopement Risk Interventions for Multiple Residents
Penalty
Summary
The facility failed to implement care plan interventions for three residents identified as being at risk for elopement. Each resident had a care plan intervention that included participation in a walker's club and the posting of their pictures at the first floor, second floor, and reception area to alert staff of their elopement risk. Despite these interventions being documented in the care plans, interviews and observations revealed that the interventions were not carried out. Staff members, including the Activities Director, LPNs, and the Receptionist, were either unaware of the location of the residents' pictures or confirmed that the pictures were not present at the designated areas. Additionally, the Director of Nursing confirmed that the walker's club was not being conducted as indicated in the care plans and that the pictures were not posted as required. The residents involved had significant cognitive impairments and medical conditions such as convulsions, cerebral infarction, hypertension, anxiety disorder, depression, diabetes, and epilepsy, which increased their risk for elopement. The care plans were not updated to reflect the lack of implementation of these interventions, and staff communication regarding the identification of wandering residents was informal rather than following the documented interventions. The failure to implement and update the care plan interventions was confirmed through staff interviews and review of facility documentation.
Failure to Document Wander Guard Placement per Professional Standards
Penalty
Summary
Nursing staff failed to consistently document the placement of a resident's wander guard bracelet on the Treatment Administration Record (TAR) as required by both facility policy and professional standards. Specifically, for one resident with diagnoses including diabetes, epilepsy, and major depressive disorder, there were blank documentation spaces on the TAR for several shifts, despite an active physician's order requiring the wander guard to be checked and documented every shift. The Director of Nursing confirmed that the expectation was for nurses to check the device and sign the TAR accordingly, but this was not done for the identified dates and shifts. The facility's policy on documentation emphasizes that if an action is not charted, it is considered not to have occurred. The deficiency was identified through interviews, medical record review, and examination of facility documentation, which showed that the required checks and documentation for the elopement device were not consistently performed or recorded. This failure was in direct violation of both the facility's own documentation guidelines and the standards set forth by the New Jersey Nurse Practice Act.
Deficient Food Handling and Sanitation Practices
Penalty
Summary
The facility failed to handle potentially hazardous food and maintain sanitation in a safe and consistent manner, as observed by the surveyor. In the Drink Refrigerator, 35 bowls of butterscotch pudding, 7 cups of applesauce, and 1 cup of cottage cheese were found without preparation or use-by dates. Similarly, in the dry storage area, an open container of peanut butter and a loaf of raisin bread were not properly labeled with open or use-by dates. In the Storage Refrigerator, several items, including butter, macaroni noodles, sauteed onions, and meatballs, were also missing appropriate labeling. These lapses in labeling and dating could compromise food safety and freshness. Additionally, the nourishment refrigerator and freezer on the first floor were found to be unsanitary, with an open milk carton causing spillage, a buildup of freezer frost, and unidentified food items. Interviews with the Dietary Director, LPN, Director of Housekeeping, and Director of Nursing revealed confusion over responsibilities for maintaining cleanliness and checking expiration dates. The facility's policies on labeling, handling food brought in by visitors, and cleaning nourishment refrigerators were not adhered to, contributing to the observed deficiencies.
Deficient Call Bell System Functionality
Penalty
Summary
The facility failed to ensure that the resident call bell system was properly functioning, as observed during a survey on 12/30/2025. At 12:22 PM, it was noted that the call bell system did not provide visual or audible notification of activation for bed 1 in a specific room when the Administrator pressed the call bell button. This issue was confirmed by the Director of Maintenance (DOM), who acknowledged that the call bell system light did not activate outside the room, and no notification was received at the nurse's station. The DOM indicated that the call bell button required replacement.
Environmental Cleanliness Deficiency
Penalty
Summary
The facility failed to maintain a clean and safe environment, as evidenced by multiple observations made by surveyors. On the first floor, water was found on the floor of a resident's room without a wet-floor sign, and another room had spilled milk on the floor and a trash bin without a liner. Additionally, the first-floor shower room had brown stains on the floor, tile, and caulked areas, and exposed drywall was noted behind a measuring scale. The Director of Nursing acknowledged that resident rooms are cleaned daily and that it is a shared responsibility to manage spills and discarded items. On the second floor, surveyors observed embedded black and gray marks on a bathroom floor, a trash can without a liner, and missing floor tiles in the shower room, which exposed a brown substance around the drain. Missing tiles were also noted at the entrance to the shower area, and several wall tiles around the heater vent and sink were absent, revealing a gray substance. A hole in the wall was observed behind a whiteboard. The Director of Housekeeping stated that general cleaning is conducted daily, and maintenance logs are kept and updated. However, the facility was unable to provide a policy regarding environmental conditions.
Deficiencies in Catheter Management and Documentation
Penalty
Summary
The facility failed to ensure proper management and documentation of indwelling catheters for two residents, leading to deficiencies in care. Resident #68 was observed with a urinary drainage bag that was not in a privacy bag and was visible from the hallway. Later, the bag was found touching the floor, which is against the facility's policy. Additionally, there were no physician orders in the electronic medical record for the indwelling catheter, which is a requirement for proper care and monitoring. Resident #21 was observed with a urinary catheter drainage bag on top of the bed without a privacy bag and not secured to the bed frame. On another occasion, the drainage bag was in a privacy bag but not properly secured to the wheelchair, causing it to collapse. The resident's medical record showed missing documentation of urinary output on several shifts, and the care plan incorrectly identified the catheter size. Interviews with staff confirmed that the drainage bags should be secured below the bladder level to prevent infection and backflow, and that output should be documented every shift. The facility's policies on catheter care and physician orders were not followed, as evidenced by the lack of documentation and improper handling of urinary drainage bags. The Director of Nursing and other staff acknowledged the importance of securing drainage bags below the bladder level and maintaining proper documentation, but these practices were not consistently implemented for the residents involved.
Failure to Ensure Call Devices are Within Reach of Residents
Penalty
Summary
The facility failed to provide services with reasonable accommodation of resident needs by not ensuring that call devices were within reach of residents. This deficiency was identified in two residents who were reviewed for call devices. During observations, one resident's call device was found on the floor next to the nightstand, and the resident expressed difficulty in locating it. The facility's policy mandates that call devices must be within reach of residents at all times, yet this was not adhered to. Another resident's call device was also found on the floor behind a bedside table, and the resident was unaware of its location. This resident had a history of moderate cognitive impairment and was at risk for falls, with a care plan intervention specifying that the call light should be within reach. Interviews with facility staff, including a CNA and an LPN, confirmed that call devices are considered a fall intervention and should be accessible to residents. Despite this, the facility's policy was not followed, leading to the deficiency.
Inaccurate MDS Assessment for Resident with Elopement Device
Penalty
Summary
The facility failed to accurately assess a resident's status in the Minimum Data Set (MDS), which is an essential tool for managing care. This deficiency was identified for one resident who was observed wandering near the nursing station with an elopement device on their left ankle. Despite the presence of this device, the resident's quarterly MDS inaccurately indicated that there was no wander/elopement alarm in place. The resident, who had a Brief Interview for Mental Status (BIMS) score indicating moderate cognitive impairment, was unaware of the purpose of the bracelet on their ankle. Further investigation revealed discrepancies in the resident's medical records. The physician's order from August indicated that an elopement device should be placed on the resident's right ankle, and the Treatment Administration Record for December confirmed compliance with this order. However, the MDS Coordinator, upon reviewing the resident's records, confirmed that the MDS was incorrectly coded, failing to reflect the presence of the elopement device. This oversight contradicts the facility's policy, which mandates accurate MDS assessments to ensure comprehensive care plans for residents.
Failure to Update Care Plan for Indwelling Catheter
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident with an indwelling catheter. During an initial tour, a surveyor observed the resident resting in bed with a urinary drainage bag attached to the bed frame. The resident was admitted with diagnoses including functional quadriplegia and dementia. A review of the resident's current care plan revealed no documentation of a focus area or interventions for the care of indwelling catheters. The Director of Nursing acknowledged that the care plan should have been updated when the resident returned to the facility. The facility's policy requires care plans to be reviewed and revised after annual assessments, quarterly reviews, and any significant changes in condition, including changes in medications or treatments.
Failure to Follow Physician's Order for Elopement Device Placement
Penalty
Summary
The facility failed to adhere to a physician's order regarding the placement of an elopement device for a resident identified as being at risk for elopement. The physician's order specified that the elopement device should be placed on the resident's right ankle, with checks for placement every shift and function checks weekly. However, during the survey, it was observed that the device was placed on the resident's left ankle, contrary to the physician's order. Despite this discrepancy, the Treatment Administration Record (TAR) was signed off, indicating compliance with the physician's order for placement on the right ankle. The resident involved had a history of malignant neoplasm of the breast, anxiety disorder, and depression, with a moderately impaired cognitive status as indicated by a Brief Interview for Mental Status (BIMS) score of 9 out of 15. The facility's documentation guidelines and policy on the application of the Wanderguard transmitter were not followed, as evidenced by the incorrect placement of the elopement device and the inaccurate documentation in the TAR. This deficiency was confirmed through interviews with facility staff and a review of the resident's medical records.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to ensure a safe environment free from accident hazards for residents at risk of falls. Specifically, the facility did not place fall mats beside the beds of residents who were identified as fall risks. For one resident, the quarterly Minimum Data Set (MDS) indicated a history of falls, and physician orders required an electric low bed with a crash mat every shift. Despite this, observations revealed that the floor mat was folded and placed against the wall while the resident was in bed. Interviews with the Director of Nursing confirmed that the floor mats should not be folded when the resident is in bed. Another resident, with a severely impaired cognitive status and a history of multiple falls, also had physician orders for an electric low bed with a floor mat for safety. However, observations showed that the floor mat was consistently folded and placed against the wall when the resident was in bed. Interviews with staff, including a CNA and an LPN, confirmed that they were aware of the fall prevention protocols, which included placing the mat on the floor when the resident is in bed. The facility's policy on falls also supported this intervention, yet it was not consistently implemented.
Failure to Properly Store Respiratory Equipment
Penalty
Summary
The facility failed to provide appropriate respiratory care for residents by not adhering to professional standards of practice. Specifically, respiratory masks and tubing were left uncontained and exposed to air, which is against infection control protocols. For instance, a resident was observed with a nasal cannula not connected to the humidification bottle, and a nebulizer face mask was left uncovered on a nightstand. Another resident's nebulizer tubing was unlabeled and left open to air, and their nasal cannula had not been changed as per the physician's orders. Additionally, a nebulizer mask was found resting on an oxygen cylinder, unbagged and exposed to air, with the tubing not dated. The residents involved had significant medical histories, including chronic obstructive pulmonary disease, hypoxemia, and other respiratory conditions, necessitating careful management of their respiratory equipment. Interviews with facility staff, including the Director of Nursing and the Infection Preventionist, confirmed that the facility's policy required respiratory equipment to be stored in zip-locked bags when not in use to prevent infection. However, observations during the survey revealed that these protocols were not consistently followed, leading to the identified deficiencies.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment regarding Enhanced Barrier Precautions (EBP) on one of its floors. During an initial tour, a surveyor observed a room with an EBP sign but found no designated trash bin for used personal protective equipment (PPE). Interviews with staff, including CNAs and an LPN, confirmed that used PPE should be discarded in a designated bin within the room, but this was not available. The facility's PPE policy also indicated that soiled gowns and other items must be discarded in the appropriate receptacle in the work area, which was not adhered to in this instance. Additionally, a registered nurse was observed bringing a treatment cart into the room of a resident on EBP for a Multi-Drug Resistant Organism (MDRO), which was against the facility's policy. The resident had a wound and a suprapubic catheter, and the physician's orders required maintaining EBP. The Infection Preventionist confirmed that treatment carts should not be brought into rooms of residents on EBP. The facility's policy on MDROs emphasized the importance of EBP to reduce transmission, which was not followed in this case.
Failure to Document and Administer Influenza Vaccinations
Penalty
Summary
The facility failed to ensure proper documentation and timely administration of influenza vaccinations for two residents. Resident #34, who was moderately cognitively intact, was admitted with diagnoses including Diabetes Mellitus and Metabolic Encephalopathy. The Minimum Data Set (MDS) for Resident #34 indicated that the influenza vaccine was not received, and no reason was documented for the omission. Similarly, Resident #68, who had severely impaired cognition due to Functional Quadriplegia and Dementia, also did not receive the influenza vaccine as indicated in their MDS, with no documented reason for the omission. During an interview, the Infection Preventionist acknowledged missing the administration of the influenza vaccines for both residents, which were eventually given in January, although they should have been administered by the end of October. The facility's policy stated that the influenza vaccine should be offered annually from October through March unless contraindicated or already administered. This oversight was identified as a deficiency in the facility's vaccination program.
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What surveyors actually found near you
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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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Keansburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arnold Walter Nursing & Rehabilitation Center | 1.8 mi | ★★★★★ | 1 | 0 |
| Anchor Care And Rehabilitation Center | 3.1 mi | ★★★★★ | 0 | 0 |
| Complete Care At Bayshore Llc | 3.9 mi | ★★★★★ | 2 | 0 |
| Careone At Middletown | 5.6 mi | ★★★★★ | 0 | 0 |
| Meadowbrook Respiratory And Nursing Center | 6 mi | ★★★★★ | 0 | 0 |
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