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 Laurelbrook Nursing Home during CMS and state inspections, most recent first.
Failure to Timely Report Abuse Allegations and Investigation Results: The facility did not report resident-to-resident abuse allegations and investigation results within required timeframes for multiple incidents involving several residents. In one event, an LPN witnessed two residents in a physical and verbal altercation, with one resident pushing the other and both falling; the initial report to the state agency was submitted after the 2-hour window, and no 5-day follow-up was documented. The DON and Administrator stated reporting delays occurred because they were waiting for a response, had trouble uploading the report, or believed they had 24 hours to report when there was no harm.
Incomplete Abuse Investigations: The facility failed to complete thorough abuse investigations for multiple resident-to-resident incidents. In one event, two residents had a physical and verbal altercation, but the investigation did not include interviews or assessments of other residents. In two other incidents involving another resident and a second resident, one resident punched the other and later allegedly threatened to choke them, but the facility could not produce key investigation documents such as witness statements, body audits, or the five-day report. Staff and the DON stated that thorough investigations should include interviews with involved residents and staff and review of records, but those materials were missing from the files.
A resident with a PEG tube did not have EBP included in the care plan, order summary, CNA task list, or room signage. During care, an RN administered medication via the PEG tube wearing gloves but no gown, and a CNA stated she did not wear a gown for incontinence care, dressing, or linen changes. The DON and IP confirmed gowns were required for these close-contact care activities.
The facility failed to maintain complete refrigerator temperature logs for three refrigerators, potentially affecting all residents. The policy required monthly tracking of temperatures, but logs from August to October 2024 showed missing entries for several days. The Interim DON confirmed the logs were incomplete and the facility did not follow its policy.
The facility did not provide information about advance directives to three residents or their representatives, as required by policy. These residents, who had varying levels of cognitive impairment, had no documentation of advance directives in their medical records. The Interim DON confirmed the oversight.
A facility failed to submit a new PASARR to the state authority after a resident received a new diagnosis of Bipolar Disorder. The resident was initially admitted with diagnoses including PTSD and Major Depressive Disorder. The PASARR was not updated to reflect the new diagnosis, as confirmed by the Interim DON.
A resident reported being threatened by a CNA and alleged that the CNA hit two other residents. Despite internal documentation and notifications to various parties, the facility failed to report the abuse allegation to the State Survey Agency within the required timeframe, resulting in a delay of more than three days.
Failure to Timely Report Abuse Allegations and Investigation Results
Penalty
Summary
The facility failed to report allegations of resident-to-resident abuse and the results of the investigations within required timeframes for 3 allegations involving 5 residents. A facility policy titled, Abuse, Neglect and Exploitation, stated alleged violations must be reported to the Administrator, state agency, adult protective services, and other required agencies within specified timeframes, including immediately, but not later than 2 hours after the allegation is made if the events involve abuse or result in serious bodily injury. One incident involved two residents, one with diagnoses including nontraumatic intracerebral hemorrhage, anxiety disorder, schizoaffective disorder, and bipolar disorder, and the other with diagnoses including cerebral infarction, anxiety disorder, and aphasia following cerebral infarction. An LPN witnessed a physical and verbal altercation in which one resident pushed the other in the chest, causing that resident to fall backward onto a bench, and the other resident to stumble and fall to the floor; neither resident was injured. The facility submitted the initial report to the state agency 3 hours and 16 minutes after the incident and did not document a 5-day follow-up report. Interviews with the DON and Administrator indicated the 2-hour timeframe was not always met, that the 5-day report was not submitted because they were waiting for a response or had trouble uploading the report, and that another incident involving two different residents was delayed because the Administrator believed the facility had 24 hours to make the report.
Incomplete Abuse Investigations
Penalty
Summary
The facility failed to conduct thorough abuse investigations for three allegations involving five residents. A facility policy titled, Abuse, Neglect and Exploitation, stated that an immediate investigation is warranted when abuse is suspected or reported and that investigations must identify and interview all involved persons, focus on whether abuse occurred and its extent and cause, and provide complete and thorough documentation. The report found that the facility did not complete investigations in a way that met those requirements for the incidents reviewed. For the incident involving two residents after a physical and verbal altercation in the foyer, the report stated that one resident pushed the other, causing the resident to fall backward onto a couch. Both residents were assessed with no injuries, separated, and monitored, and the facility reported that neither resident posed a danger to others. However, the investigation did not include interviews or assessments of other cognitive and non-cognitive residents. Staff interviews confirmed that witness statements were taken, but the DON and Administrator stated that other residents were not assessed because the event appeared isolated and there was no indication of potential abuse involving others. For the two separate incidents involving another resident and a different resident, the reports described one resident punching another in the face after the resident was standing in the doorway of the room, and a separate allegation that the same resident threatened to choke the other resident. The Administrator and DON stated that a thorough abuse investigation should include interviews with the involved residents, involved staff, and review of medical records, but the facility could not produce the signed witness statements, body audits, or the five-day report for one of the incidents. The Administrator stated that staff had spoken with people involved, but the statements were not found in the investigation files.
Failure to Use EBP for Resident With PEG Tube
Penalty
Summary
The facility failed to ensure staff implemented enhanced barrier precautions (EBP) for Resident #29, who had a PEG tube and a history that included gastrostomy status, bed confinement status, and gastro-esophageal reflux disease with esophagitis. The resident’s quarterly MDS indicated a feeding tube, and the care plan addressed PEG tube feeding and site care, but the care plan, order summary, and CNA task list did not include EBP. Facility policy and CMS guidance stated that residents with indwelling medical devices such as feeding tubes should have EBP during high-contact care activities, and the facility’s Infection Preventionist and MDS Coordinator acknowledged the resident did not have the required EBP order or CNA task list entry. During observation, RN #3 administered medication via the PEG tube while wearing gloves but not a gown, and no EBP signage was posted for the resident’s room. CNA #4 stated she did not wear a gown during incontinence care, dressing, or linen changes for the resident. The DON stated RN #3 broke infection control protocol by failing to wear a gown during care, and the IP confirmed that gowns were required during close-contact care including linen changes, dressing, and incontinence care. The DON and Administrator later stated staff were expected to wear proper PPE during medication administration and CNA care for the resident.
Incomplete Refrigerator Temperature Logs
Penalty
Summary
The facility failed to maintain complete refrigerator temperature logs for three refrigerators, which had the potential to affect all 43 residents. The facility's policy, dated March 11, 2019, required monthly tracking sheets to record refrigerator and freezer temperatures, including time, temperatures, and initials. However, a review of the temperature logs from August 1, 2024, to October 22, 2024, revealed missing documentation for several days across three refrigerators. Specifically, the Food Black refrigerator #3 had missing logs for five days in August, two days in September, and three days in October. Similarly, the medication refrigerators labeled Team 1 and Team 2 had missing logs for two days in September and three days in October. During an interview on October 23, 2024, the Interim Director of Nursing confirmed the incompleteness of the logs and acknowledged the facility's failure to adhere to its policy.
Failure to Provide Advance Directive Information
Penalty
Summary
The facility failed to provide information to residents or their responsible parties regarding their right to formulate an advance directive. This deficiency was identified for three residents during a review of the facility's policy, medical records, and interviews. The facility's policy on advance directives, revised in 2013, outlines the importance of providing residents with information about their rights to make future medical decisions through advance directives. However, the medical records for three residents showed no documentation of advance directives or any indication that the residents were informed about their right to formulate one. Resident #7, who was admitted with multiple diagnoses including severe cognitive impairment, had no documentation of an advance directive or any discussion about it. Similarly, Resident #40, with moderate cognitive impairment, and Resident #94, with severe cognitive impairment, also lacked documentation of advance directives in their medical records. The Interim Director of Nursing confirmed that information about developing an advance directive was not provided to these residents or their representatives upon admission.
Failure to Update PASARR After New Diagnosis
Penalty
Summary
The facility failed to submit a Pre-Admission Screening and Resident Review (PASARR) to the state-designated authority after a new mental health diagnosis was added for a resident. The medical record review revealed that the resident was admitted with diagnoses including Homelessness, Post Traumatic Stress Disorder, and Major Depressive Disorder. A new diagnosis of Bipolar Disorder was added on 8/27/2024. However, the PASARR dated 6/27/2024 only noted Anxiety Disorder, Depression, and Post-Traumatic Stress Disorder, and there was no documentation of a new PASARR submission following the addition of the Bipolar Disorder diagnosis. During an interview, the Interim Director of Nursing confirmed that a submission for a level II PASARR was not made to the state-designated authority after the new mental health diagnosis was added for the resident.
Failure to Timely Report Abuse Allegation
Penalty
Summary
The facility failed to report an allegation of abuse to the State Designated Authority for one resident, identified as Resident #321, among 27 residents reviewed. The facility's policy mandates that any suspicion of a crime against a resident must be reported to the State Survey Agency and local law enforcement within specific timeframes, depending on the severity of the incident. In this case, Resident #321, who was cognitively intact and required minimal assistance with activities of daily living, reported that a CNA had threatened him and allegedly hit two other residents. This concern was documented by the Director of Nursing on January 1, 2024. Despite the facility's internal documentation and notification to various parties, including the family, doctor, DON, administrator, Adult Protective Services, Crisis, Sheriff, and Ombudsman, there was no documentation indicating that the State Survey Agency was notified in a timely manner. The facility was more than three days late in reporting the allegations of physical abuse to the State Agency, as the incident was known to key personnel on January 1, 2024, but the State Agency was not notified until another state agency called in a complaint on January 5, 2024. The Administrator confirmed this failure during an interview on November 23, 2024.
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Illustrative
What surveyors actually found near you
We read the 30 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — 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.
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Dayton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Rhea County | 8.3 mi | ★★★★★ | 6 | 0 |
| Bledsoe County Nursing Home | 9.9 mi | — | 0 | 0 |
| Nhc Healthcare, Sequatchie | 17.9 mi | ★★★★★ | 3 | 0 |
| Decatur Wellness And Rehabilitation Center | 18.1 mi | ★★★★★ | 3 | 0 |
| Soddy-daisy Health Care Center | 18.4 mi | ★★★★★ | 5 | 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.