Below average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Ridge Center during CMS and state inspections, most recent first.
A resident with hemiplegia and DM had ordered insulin aspart before meals and at bedtime, but the MAR and BG records did not consistently show the required checks or insulin administration. Notes reflected the resident reported not receiving insulin on a prior shift, a BG of 595 was documented, and later charting included conflicting and incomplete entries from an LPN and RN about BG checks and insulin doses.
A resident with a history of stroke, hypertension, and mobility issues, identified as a risk for elopement, left the facility unsupervised and was missing for nearly a day before being found by police. Staff failed to provide adequate supervision, relied on assumptions about the resident's location, and did not conduct regular checks, resulting in delayed recognition of the resident's absence.
Six residents were affected by environmental deficiencies, including a dusty fan blowing toward a resident's bed and repeated loud slamming of a kitchen door that startled both residents and staff. Despite complaints to the NHA, the issues persisted, impacting comfort and the homelike atmosphere.
Comprehensive MDS assessments were not completed within the mandated 14-day period for four residents. Both the DON and the administrator confirmed that these assessments were completed late, in violation of regulatory requirements.
A resident with diabetes and heart failure experienced multiple episodes of critically high blood glucose levels, as documented in the clinical record. Despite facility policy and physician orders requiring notification for blood sugar readings above 500 mg/dL, there was no documentation that the provider was notified. This deficiency was confirmed by the DON and the Nursing Home Administrator.
Two residents received potassium chloride at times inconsistent with physician orders, with repeated late or early administrations documented over several days. An LPN was observed administering the medication outside the prescribed time and was unable to document it properly in the electronic record. The DON and Nursing Home Administrator confirmed the failure to prevent significant medication errors.
The facility did not provide written notice of its bed-hold policy to residents or their representatives during multiple hospital transfers, as required by facility policy. Several residents with complex medical conditions were transferred for acute health issues, but clinical records lacked documentation of the required notification. This deficiency was confirmed by both record review and staff interviews.
Three staff members, including a nurse aide, an LPN, and a dietary employee, did not receive required annual training on the facility's QAPI program, as confirmed by document review and interviews with the administrator and DON.
A resident with Parkinson's and severe cognitive impairment was restrained with a gait belt without a physician's order, violating facility policy. The resident had a history of falls and difficulty maintaining safe positioning due to rigidity. Despite discussions with the resident's family and attempts to find suitable positioning devices, the unauthorized use of the gait belt led to a deficiency finding.
A resident with severe cognitive impairment was improperly restrained with a gait belt tied to a wheelchair by an RN, contrary to facility policy. Several staff members witnessed the incident but failed to report it to supervisors or authorities, violating state law and facility procedures. The facility's management confirmed the failure to implement necessary reporting policies.
The facility failed to notify physicians and assess residents for abnormal glucose levels, affecting three residents with diabetes. Despite care plans requiring monitoring and reporting of hypo-/hyperglycemia symptoms, residents experienced abnormal CBG levels without proper assessment or physician notification. Interviews with LPNs and the DON revealed inconsistencies in following protocols for managing abnormal glucose levels.
A resident with multiple health issues was neglected when two nurse aides transferred them from a wheelchair to a bed without using the required lift, resulting in severe pain and injury. The aides admitted to the manual transfer due to the absence of a lift pad, contrary to the facility's policy on preventing neglect.
Significant insulin administration and blood glucose documentation errors
Penalty
Summary
The facility failed to ensure that one resident was free from significant medication errors. Resident R1 had diagnoses of hemiplegia and diabetes, and the record showed he was repeatedly documented as alert and oriented to person, place, and time. The care plan for insulin-dependent diabetes directed staff to monitor for signs and symptoms of hyperglycemia and hypoglycemia, and a physician order dated 4/27/26 directed insulin aspart before meals and at bedtime per sliding scale. The resident’s blood sugar documentation and MAR did not consistently reflect ordered monitoring and insulin administration. The record failed to show an early morning blood sugar above 306 mg/dL after the last insulin administration, and the MAR failed to show that blood sugar was checked or insulin was given on 4/29/26 at the scheduled 9:00 p.m. A progress note at 12:39 a.m. on 4/30/26 stated the resident reported not receiving insulin on the prior shift and had a blood sugar of 595, and another note at 1:15 a.m. documented six units of insulin aspart were given. Later documentation included a note that the resident’s blood sugar was 249 after staff were told it had been 595 overnight, while the blood sugar record also showed 595 inaccurately documented for 4/30/26 at 8:41 a.m. A late entry note from an LPN stated an accucheck of 358 and insulin given per order, but the clinical record did not contain documentation of a blood sugar of 358, the insulin dose given, or an explanation for the 595 reading.
Elopement Due to Inadequate Supervision
Penalty
Summary
A deficiency occurred when a resident with a history of cerebral infarction, high blood pressure, and difficulty walking eloped from the facility without staff knowledge or supervision. The resident was assessed as cognitively intact with a BIMS score of 15 and had a care plan in place identifying a risk for wandering or elopement. Despite this, staff did not provide adequate supervision, and the resident was able to leave the facility undetected for approximately 22 hours before being located by police. Multiple staff members observed the resident throughout the evening, noting that he was frequently walking in the hallways and was last seen between 8:00 and 9:00 p.m. Staff relied on assumptions about the resident's whereabouts, with some believing he was in the dining room or elsewhere in the building, and did not verify his location during rounds. The facility's practice was to conduct two-hour checks only on incontinent residents, and staff admitted to bypassing the resident's room during rounds due to his usual activity of walking around the facility. The facility was unaware of how or when the resident exited the building, and it was noted that door codes may have been accessible to residents. The lack of consistent supervision and failure to account for the resident's whereabouts resulted in a delay in recognizing his absence. The deficiency was confirmed by the facility's administration, who acknowledged that staff should have realized the resident was missing sooner.
Failure to Maintain Safe, Clean, and Comfortable Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for six of seventeen residents on one of three nursing units and in the main dining room. Observations revealed that a large box fan in a resident's room was covered in dust while actively blowing air toward the resident's bed, indicating a lack of cleanliness and attention to environmental safety. Additionally, during a group interview, multiple residents reported that kitchen staff routinely slammed the kitchen door during meal times and activities, causing discomfort and startle responses among residents. One resident stated that this concern had been reported to the Nursing Home Administrator weeks prior, but the issue persisted. Further observations confirmed that the kitchen entry/exit hallway door repeatedly slammed shut due to its automatic mechanism and the vacuum effect created when the dining room door was kept closed, as instructed by maintenance staff. Staff members working near the door were observed to flinch at the loud noise, and interviews confirmed that both staff and residents were affected by the repeated slamming. The Nursing Home Administrator acknowledged the facility's failure to maintain a safe, clean, and comfortable environment as required by policy and state regulations.
Failure to Complete MDS Assessments Within Required Time Frame
Penalty
Summary
The facility failed to complete comprehensive Minimum Data Set (MDS) assessments within the required time frame for four of eight residents reviewed. According to the Resident Assessment Instrument (RAI) User's Manual, an admission MDS assessment must be completed no later than 14 days following admission. Documentation showed that the MDS assessments for these residents were completed after the required 14-day period. This was confirmed by both the Director of Nursing and the Nursing Home Administrator during interviews, who acknowledged that the assessments were not completed on time as required by regulation.
Failure to Notify Physician of Critically High Blood Glucose Levels
Penalty
Summary
The facility failed to notify physicians of significantly elevated capillary blood glucose (CBG) levels for a resident with diabetes and heart failure. According to facility policy, licensed nurses are required to report abnormal laboratory values, including changes in blood glucose, to the physician or advanced practice provider. The resident's care plan specifically directed staff to monitor for signs and symptoms of hyperglycemia or hypoglycemia and to report abnormal findings to the physician. A physician order was in place instructing staff to call the physician if the resident's blood sugar exceeded 500 mg/dL. Despite these directives, the clinical record showed multiple instances where the resident's blood sugar readings were at or above 500 mg/dL, with no documentation that the provider was notified. This was confirmed by the DON and the Nursing Home Administrator during interviews. The failure to notify the physician of these abnormal blood glucose levels constituted a violation of facility policy and state regulations regarding resident care and physician notification.
Failure to Prevent Significant Medication Errors in Scheduled Administration
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors, as evidenced by the administration of potassium chloride at incorrect times for two residents. For one resident with diagnoses of atrial fibrillation and chronic kidney disease, physician orders specified potassium chloride to be administered at 10:00 a.m. and 10:00 p.m., and furosemide at 8:00 a.m. However, observations and medication audit reports revealed that potassium chloride was administered outside the prescribed times on multiple occasions, including one instance where the medication was given at 8:44 a.m. instead of the scheduled time, and the administration could not be properly documented in the electronic medical record due to timing restrictions. Additional audit findings showed repeated late administrations over several days. Another resident with dementia and a thyroid disorder also had orders for potassium chloride at 10:00 a.m. and furosemide at 8:00 a.m. Medication audit reports indicated that these medications were frequently administered and documented at times inconsistent with the physician's orders, with doses given significantly earlier or later than scheduled. Interviews with the DON and Nursing Home Administrator confirmed that the facility did not ensure residents were free from significant medication errors, as required by facility policy and state regulations.
Failure to Provide Written Bed-Hold Policy Notification at Time of Hospital Transfer
Penalty
Summary
The facility failed to provide written notice of its bed-hold policy to residents or their representatives at the time of transfer to the hospital for five out of nine residents reviewed. According to the facility's own policy, written notification of the bed-hold policy is required for all residents at the time of transfer, regardless of payer source. Clinical record reviews for multiple residents revealed no documentation that this notification was given during several hospital transfers. These residents had various medical conditions, including cerebral palsy, paraplegia, seizure disorder, coronary artery disease, history of stroke, chronic kidney disease, diabetes, heart failure, and psychotic disorder. Transfers occurred for reasons such as high fever, hypertensive crisis, low oxygen levels, erratic behavior, hallucinations, low blood sugar, pain, and other acute symptoms. Staff interviews with the Nursing Home Administrator and the DON confirmed that the facility did not ensure written notice of the bed-hold policy was provided at the time of transfer for the affected residents. The deficiency was identified through policy review, clinical record review, and staff interviews, with no evidence found in the records that the required notifications were given during any of the documented transfers for these residents.
Failure to Provide Mandatory QAPI Training to All Staff
Penalty
Summary
The facility failed to provide mandatory training on its Quality Assurance and Performance Improvement (QAPI) program to three of eight reviewed staff members, as required by its Facility Assessment and state regulations. Specifically, a nurse aide, an LPN, and a dietary employee did not have documented QAPI in-service education within the required annual period based on their hire dates. This deficiency was identified through a review of facility documents, personnel in-service training records, and was confirmed during interviews with the Nursing Home Administrator and the Director of Nursing.
Unauthorized Use of Physical Restraint on Resident
Penalty
Summary
The facility failed to ensure that a resident was free from the use of a physical restraint without a physician's order. The incident involved a resident with Parkinson's disease, a leg/hip fracture, and a BIMS score of 5, indicating severe cognitive impairment. The resident had a history of repeated falls and was being managed for behavior to ensure safety. On a particular weekend, a gait belt was applied to the resident's torso, effectively restraining them without a physician's order. This action was contrary to the facility's policy, which requires documentation of the medical symptom being treated and an order for the use of any restraint. The incident was reported after a concern was raised about the use of the gait belt as a restraint. The resident had previously fallen multiple times and was experiencing rigidity due to Parkinson's disease, making it difficult to keep them safely positioned. Despite attempts to find a suitable positioning device, the resident continued to slide out of chairs. The RN involved in the incident noted the lack of sufficient staff for one-on-one monitoring and discussed the situation with the resident's son, who agreed to the use of a lap buddy. However, the use of the gait belt as a restraint was not authorized, leading to the deficiency finding.
Failure to Report and Address Improper Use of Restraints
Penalty
Summary
The facility failed to implement its policies and procedures for reporting suspected abuse, neglect, or misuse of restraints, as evidenced by an incident involving a resident with cognitive impairment and a history of falls. The resident, who had a BIMS score of 5 indicating severe cognitive impairment, was found to have been improperly restrained with a gait belt tied around their torso to a wheelchair. This restraint was applied by an RN to prevent the resident from sliding out of the chair, which is against the facility's policy prohibiting the use of restraints not required to treat medical symptoms. Multiple staff members, including nurse aides and an LPN, were aware of the improper use of the gait belt but failed to report the incident to their supervisors or the appropriate authorities as mandated by the facility's abuse prohibition policy and state law. Witness statements revealed that some staff members observed the resident tied to the chair and either did not report it or reported it to peers who did not take further action. This lack of reporting and failure to follow established procedures contributed to the deficiency. The facility's management, including the Nursing Home Administrator and the Director of Nursing, confirmed the failure to implement the necessary policies and procedures for reporting suspected abuse. This deficiency was identified during a review of the facility's documents, clinical records, and staff interviews, highlighting a significant lapse in the facility's responsibility to protect residents from abuse and ensure staff compliance with reporting requirements.
Failure to Notify Physicians and Assess Residents for Abnormal Glucose Levels
Penalty
Summary
The facility failed to notify physicians of abnormal capillary blood glucose (CBG) levels and did not assess residents for hyperglycemia and hypoglycemia, affecting three residents. Resident R5, diagnosed with diabetes, high blood pressure, and anxiety, had several instances of low CBG levels recorded, but there was no assessment for hypoglycemia, monitoring for treatment effectiveness, or physician notification. The care plan required monitoring and reporting of hypo-/hyperglycemia symptoms, which was not followed. Resident R30, with diabetes and end-stage renal disease, experienced both high and low CBG levels. Despite the care plan's directives to monitor and report abnormal glucose levels, the resident was not assessed for hyperglycemia, and the physician was not informed of the abnormal results. Similarly, Resident R37, with diabetes and chronic obstructive pulmonary disease, had multiple instances of abnormal CBG levels without proper assessment or physician notification, contrary to the care plan and physician orders. Interviews with LPNs and the Director of Nursing (DON) revealed inconsistencies in following facility protocols for managing abnormal glucose levels. The DON confirmed the facility's failure to provide timely communication to physicians and to recognize and document diabetes-related complications. The facility did not adhere to its policies for monitoring and documenting diabetic residents' conditions, including vital signs, meal consumption, and blood glucose results.
Neglect Due to Improper Transfer Procedure
Penalty
Summary
The facility failed to protect a resident from neglect by not following physician's orders during a transfer from a wheelchair to a bed. The resident, who had diagnoses including kidney disease, bladder dysfunction, adult failure to thrive, chronic pain, and a sacral pressure ulcer, was supposed to be transferred using a total lift with the assistance of two staff members. However, on one occasion, two nurse aides transferred the resident without using the lift, resulting in the resident experiencing severe pain in the right lower extremity, bruising, and internal rotation of the right leg. The incident was reported by the resident to a registered nurse, who assessed the resident's pain as a ten out of ten. The resident's roommate confirmed overhearing staff discussions about the transfer without the lift. The nurse aides involved admitted to lifting the resident manually due to the absence of a lift pad under the resident, which they attributed to the previous shift's actions. The facility's policy on abuse prohibition, which includes neglect, was not adhered to, as the staff failed to provide necessary services to avoid physical harm to the resident.
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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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Nursing homes near Uniontown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mt Macrina Manor | 1.4 mi | ★★★★★ | 14 | 0 |
| Uniontown Nursing And Rehab | 1.8 mi | ★★★★★ | 1 | 0 |
| Lafayette Manor, Inc | 2.2 mi | ★★★★★ | 14 | 0 |
| Terrace Health & Rehab Center | 2.3 mi | ★★★★★ | 10 | 0 |
| Scottdale Healthcare & Rehabilitation Center | 17 mi | ★★★★★ | 14 | 0 |
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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.