Below average — CMS composite of the measures below.
The next survey window likely opens around December 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 Laurelwood Health Care Center during CMS and state inspections, most recent first.
Cold Resident Rooms and Open Windows: Surveyors found multiple resident rooms on one hall far below the stated acceptable temperature range, with readings as low as 53 F. Several windows were open to the outside and a thermostat box was unlocked. Affected residents included individuals with dementia, Alzheimer's disease, COPD, paraplegia, and other conditions; one resident said the room had been cold for about 2 weeks and another said it was chilly that morning.
Lack of Privacy in Communal Bathroom: A communal women’s bathroom had no lock, no privacy curtain or enclosure, and two toilets were visible side by side when the door was opened. Cognitively intact residents who used the bathroom, including two roommates needing toileting assistance and another resident independent with toileting hygiene, reported there was no privacy and that the stalls had not been put back up for about a month. The DON acknowledged the bathroom was communal and residents should have privacy while using it.
Infection control practices were not maintained when communal bathrooms had unsecured bath basins, a soiled washcloth, and no hand hygiene supplies, and when an LPN carried an uncapped insulin syringe and placed medication items on unclean surfaces during administration to a resident. A second LPN dropped a medication bottle lid on the floor and replaced it without cleaning it, failed to perform hand hygiene before and after glove use, placed medications on an unclean surface, and returned a blood pressure cuff to the cart without disinfecting it.
Unsanitary and Unsafe Communal Bathrooms: Surveyors found multiple communal bathrooms with no soap or paper towels, brown residue on toilets, walls, and commode seats, an unlabeled wash basin with unknown liquid, a leaking sink, and a metal rod/auger stored in a bathroom stall. The DON and Administrator acknowledged the bathrooms were communal, that hand hygiene supplies should be available, and that some items and surfaces were unsafe or should have been removed.
The facility failed to maintain sanitary conditions in its food service operations, with a malfunctioning dishwasher not reaching the required temperature and improper chemical sanitation. Residents were served meals on unsanitary dishware, and expired food items were found in storage. The Dietary Manager acknowledged these issues and confirmed that disposable plates should have been used.
The facility failed to inform residents about their rights to refuse treatment and formulate advance directives, as evidenced by incomplete Advance Directive Acknowledgement documents for six residents. These residents had various medical conditions and cognitive impairments, yet the facility did not ensure the necessary information was provided, as confirmed by the Administrator and Regional Director of Clinical Services.
A facility failed to obtain timely physician orders and provide appropriate treatment for a resident's pressure ulcers upon readmission. Despite the facility's policy requiring immediate physician notification and treatment initiation, an LPN delayed obtaining the necessary orders, and treatment documentation was not completed until several days later. The DON confirmed that the order should have been written on the day of the assessment.
A resident with multiple diagnoses and moderate cognitive impairment experienced a fall, but the facility failed to follow its Fall Prevention Program policy. The DON confirmed the absence of required documentation, including a resident assessment, incident report, and notifications, after the incident.
A facility failed to provide appropriate care for a resident with an indwelling urinary catheter. The resident's catheter was not in a dignity bag, contrary to facility policy, and was instead wrapped in a pillowcase. There were no physician's orders for the catheter or its care until after surveyor observations. The resident was admitted with multiple diagnoses and was severely cognitively impaired. The DON confirmed the lack of necessary orders and the absence of privacy bags.
A facility failed to follow its policy for monitoring weekly weights for a resident, resulting in a deficiency. The resident, who was at nutritional risk due to diabetes, experienced significant weight loss over three months. Despite being on a controlled diet and receiving supplements, the facility did not consistently document weekly weights. Interviews confirmed the oversight in monitoring and documentation.
An LPN failed to follow Enhanced Barrier Precautions and proper hand hygiene while administering PEG tube medications to a resident with a gastrostomy. Despite a sign indicating EBP, the LPN did not wear a gown and did not perform hand hygiene after removing gloves. The DON confirmed the necessity of PPE and hand hygiene in such situations.
Cold Resident Rooms and Open Windows
Penalty
Summary
The facility failed to ensure resident rooms remained at safe and comfortable temperatures when multiple rooms on the 100 Hall were measured far below the stated acceptable range of 71 to 81 degrees F. During the initial tour, surveyors observed the hall felt cold and measured room temperatures ranging from 53.0 degrees F to 65.1 degrees F in rooms occupied by residents including those with and without roommates. Several windows were also found open to the outside, exposing rooms to the outdoor temperature of 46 degrees F, and the thermostat box controlling the left side of the 100 Hall was observed opened and unlocked. Resident records showed that several affected residents had significant medical and cognitive conditions. One resident shared a room with another resident and had diagnoses including Alzheimer's disease, paraplegia, and depression, with moderate cognitive impairment and substantial assistance needed for transfers. Another resident shared that room and had COPD, emphysema, depression, and Alzheimer's disease, with moderate cognitive impairment. Other affected residents included a resident with traumatic brain injury, dementia, hypertension, and depression who was severely cognitively impaired and dependent on chair-to-bed transfers, and a resident with dementia, diabetes, depression, and Alzheimer's disease who was also severely cognitively impaired. Additional residents in the affected rooms were documented as cognitively intact or moderately impaired, and one resident stated the room was cold and that a house coat was needed. Surveyor observations and interviews documented that the cold conditions persisted through repeated measurements during the day, with several rooms still below the required range later in the survey. One resident stated the room had been cold for about two weeks and that staff had been told about it, while another resident said the room was chilly that morning and put on a house coat. The Maintenance Director acknowledged responsibility for the building systems and stated he was not sure of the federal temperature regulations, while the Administrator stated she was first informed when the surveyor raised the issue. The Medical Director later acknowledged that one of the gas lines had not been fully turned on since around Christmas, and the HVAC company invoice noted a gas leak and that gas had been shut off to one of the systems.
Lack of Privacy in Communal Bathroom
Penalty
Summary
The facility failed to promote and ensure dignity and quality of life for residents using the 100 Hall communal bathrooms. Review of the facility’s Resident Rights policy stated residents have the right to a dignified existence, personal privacy, and a comfortable, homelike environment, including accommodations for personal care. However, an invoice dated 12/3/2025 showed an order for 4 standard overhead braced toilet partitions, and observation of the 100 Hall women’s communal bathroom on 1/20/2026 at 9:45 AM and 11:50 AM revealed no lock on the door, two toilets side by side with only a few feet between them, and no wall, privacy curtain, or other enclosure, allowing full view of the toilets when the door was opened. Resident #14 and Resident #34, who were roommates, were both cognitively intact with BIMS scores of 14 and required assistance with toileting hygiene. During interview, Resident #14 stated there was no privacy in the bathroom and the stalls were never put up, and Resident #34 stated it was a female restroom but it would be nice to have some privacy. Resident #29, who was cognitively intact with a BIMS score of 15 and independent for toileting hygiene, stated she sometimes used the employee restroom for more privacy and that the 100 Hall bathroom stalls were not put back up and had been that way for about a month. Observation and interview later that day again confirmed no privacy for resident use of the toilets, and the DON acknowledged the bathroom was communal and residents should have privacy while using the restroom.
Infection Control Lapses in Communal Bathrooms and Medication Administration
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program when communal bathrooms on the 100 and 200 halls were observed with unsecured personal items and no hand hygiene supplies, and when two LPNs failed to follow infection control practices during medication administration. The facility policies reviewed stated that reusable items and equipment must be cleaned according to procedure, potentially contaminated reusable items must be placed in clear plastic bags and labeled, medications must be administered in a manner to prevent contamination or infection, multiple-resident equipment must be cleaned and disinfected after each use, and hand hygiene must be performed before donning gloves and immediately after removing them. In the 100 Hall women's communal bathroom, surveyors observed two unlabeled, unbagged bath basins in the shower stall, a soiled washcloth on the floor, and no hand soap or paper towels. The DON confirmed the bathroom was communal and stated the basins should not be there and that soap and paper towels should be available. In the 200 Hall men's communal bathroom, surveyors observed four unlabeled, unbagged bath basins and one unlabeled, unbagged bed pan stacked on the floor under the sink, with no paper towels present. In the 200 Hall women's communal bathroom, two unlabeled, unbagged bath basins were observed under the sink on the floor, and the Administrator stated the basins and a soiled washcloth should not be in the bathroom and should be bagged and placed in the soiled linen cart. In the 100 Hall men's communal bathroom, no hand soap or paper towels were present, and CNA C stated nursing staff use the 100 and 200 Hall communal bathrooms for hand hygiene when needed. During medication administration, LPN A drew up insulin and walked down the hall with an uncapped syringe, removed eyedrops from the medication cart, and administered insulin and eyedrops to Resident #3 without using a barrier for the medication items. Resident #3 had diagnoses including heart failure, dementia, and diabetes, and his BIMS score indicated he was cognitively intact. LPN B prepared medications for Resident #30, dropped a medication bottle lid on the floor and replaced it without cleaning it, placed medications, eyedrops, and an inhaler on the over-bed table without a barrier, donned and removed gloves without hand hygiene, took the resident's blood pressure, administered medications, and returned the blood pressure cuff to the cart without disinfecting it. Resident #30 had diagnoses including congestive heart failure, chronic kidney disease, and chronic respiratory failure, and his BIMS score indicated he was cognitively intact.
Unsanitary and Unsafe Communal Bathrooms
Penalty
Summary
The facility failed to provide a safe, functional, and sanitary environment in 4 of 4 communal bathrooms on the 100 and 200 halls. Facility policies reviewed stated that residents have the right to a safe, clean, comfortable, and homelike environment, and that infection control measures include proper hand hygiene, supervision of disinfection of contaminated articles, and use of paper products and disposable supplies for all residents. The Environmental Services Director stated that bathrooms should be cleaned daily and checked 3 times per day to make sure they are clean. In the 100 Hall men's communal bathroom, surveyors observed no paper towels for hand hygiene, three elongated streaks of a brown substance on the wall, a trash can lid on the floor, and a brown residue on both toilet bowls. In the 100 Hall women's communal bathroom, surveyors observed an unlabeled wash basin with smeared brown substance on the outside, two toilets with dried brown substance around the bowls, and no soap or paper towels for hand hygiene. In the same bathroom, a metal rod approximately 5 feet long was observed propped against the wall beside the commode in the second stall. The DON acknowledged the bathroom was communal and stated that soap and paper towels should be available for hand hygiene. In the 200 Hall women's communal bathroom, surveyors observed a raised commode seat with a reddish-brown substance on both front and back legs, brown debris around the base of the commode, a reddish-brown substance on the inside right wall of the stall, a brown substance on the wall adjacent to the shower, and an unlabeled, unbagged wash basin containing an unknown liquid under the sink. The Administrator acknowledged the reddish-brown substance was rust on the commode seats and stated the seats should have been removed. The Administrator also acknowledged the wash basins should be bagged and labeled, and verified the sink was leaking. In the 200 Hall men's communal bathroom, surveyors observed a raised commode seat with a reddish-brown substance extending the full length of both front legs and both arm rails, a brown smeared substance on the stall wall, and no paper towels available despite an automatic paper towel holder being present. The Administrator acknowledged the rust on the wall and verified paper towels should be available for hand hygiene.
Sanitation Deficiencies in Food Service Operations
Penalty
Summary
The facility failed to maintain sanitary conditions in its food service operations, as evidenced by several deficiencies observed during a survey. The dishwasher used for cleaning dishware did not reach the required temperature of 120 degrees Fahrenheit, with a recorded temperature of only 112.6 degrees Fahrenheit. Additionally, the chemical sanitation solution was not at the correct concentration, as confirmed by the Dietary Manager (DM) using test strips. Despite these issues, residents were served meals on dishware that had been washed in the malfunctioning dishwasher. The DM acknowledged that disposable plates and utensils should have been used instead. Further observations revealed unsanitary conditions in the kitchen, including cookware with thick carbon buildup and expired food items in both the dry storage area and the Emergency Food Supply. Expired items included peanut butter, tomato juice, cream of chicken soup, apple cider vinegar, and evaporated milk. The DM confirmed the presence of expired items and acknowledged that they should not have been in storage. These findings indicate a failure to adhere to professional standards for food storage, preparation, and service, compromising the sanitary conditions of the facility's food service operations.
Failure to Provide Advance Directive Information
Penalty
Summary
The facility failed to provide information to residents regarding their right to refuse medical or surgical treatment or to formulate an advance directive. This deficiency was identified for six residents during a review of the facility's policy, medical records, and interviews. The facility's policy on Resident Rights mandates that residents be informed both orally and in writing about their rights, including the right to request, refuse, and/or discontinue treatment and to formulate an advance directive. However, the Advance Directive Acknowledgement documents for these residents were found to be incomplete, indicating that the necessary education and information were not provided. The residents involved had various medical conditions and cognitive impairments. For instance, one resident with Hemiplegia, Epilepsy, and Anxiety was rarely understood and had moderately impaired cognitive skills. Another resident with Parkinson's Disease and Paranoid Schizophrenia had a BIMS score indicating moderate cognitive impairment. Despite these conditions, the facility failed to ensure that the Advance Directive Acknowledgement documents were fully completed, as confirmed by the Administrator and Regional Director of Clinical Services during an interview. This oversight suggests a lack of adherence to the facility's policy on informing residents of their rights.
Failure to Obtain Timely Physician Orders for Pressure Ulcer Treatment
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care and obtain necessary physician orders for a resident with pressure ulcers. The facility's policy mandates that licensed nurses conduct a full body skin assessment upon admission or readmission and notify the attending physician of any new pressure ulcers. However, upon readmission, a resident with multiple medical conditions, including amputations and peripheral vascular disease, was found to have pressure ulcers on the right gluteal area and coccyx. Despite this, the necessary physician orders for treatment were not obtained until several days later. The Treatment Administration Record indicated that the treatment for the resident's sacral pressure wounds was not documented as performed until several days after the resident's readmission. An LPN confirmed that she assessed the resident and applied a dressing but did not obtain a physician's order immediately. The Director of Nursing acknowledged that the order should have been written on the day of the assessment, highlighting a lapse in following the facility's policy for immediate physician notification and treatment initiation.
Failure to Follow Fall Prevention Policy After Resident Fall
Penalty
Summary
The facility failed to adhere to its Fall Prevention Program policy following a fall incident involving a resident. The policy mandates that when a resident experiences a fall, the facility must assess the resident, complete a fall assessment, incident report, notify the physician and family, review and update the care plan, document all assessments and actions, and obtain witness statements. However, after a fall on 1/14/2024, the Director of Nursing (DON) was unable to provide any documentation related to the incident, including a resident assessment, incident report, physician or family notification, or witness statements. The resident involved in the incident was admitted with multiple diagnoses, including Diabetes, Disorganized Schizophrenia, Anxiety, Blindness, Obsessive Compulsive Disorder, and Major Depressive Disorder. The resident was identified as being at risk for falls and had a Brief Interview for Mental Status (BIMS) score indicating moderate cognitive impairment, along with highly impaired vision. Despite these risk factors, the facility did not follow its policy to investigate and document the fall, as confirmed by the DON during an interview.
Failure to Provide Appropriate Catheter Care and Maintain Privacy
Penalty
Summary
The facility failed to provide appropriate care and services for a resident with an indwelling urinary catheter. The facility's policy requires that residents with indwelling catheters receive proper catheter care, maintain dignity and privacy, and have catheter drainage bags covered at all times. However, observations revealed that the resident's Foley catheter was not in a dignity bag and was instead wrapped in a pillowcase. Additionally, there were no physician's orders for the Foley catheter or catheter care documented in the medical record until after the surveyor's observations. The resident in question was admitted with multiple diagnoses, including Chronic Obstructive Pulmonary Disease, Alzheimer's Disease, and Peripheral Vascular Disease, and was severely cognitively impaired. The Director of Nursing confirmed that the resident came from the hospital with the catheter due to pressure ulcers and acknowledged the absence of necessary orders for the catheter and its care. The DON also confirmed that catheter privacy bags were not available, leading to the use of a pillowcase as a temporary measure.
Failure to Monitor Weekly Weights for Resident
Penalty
Summary
The facility failed to adhere to its policy for monitoring weekly weights for a resident, leading to a deficiency in maintaining the resident's nutritional status. The facility's policy, dated 3/4/2022, required weekly weights to be monitored and the Registered Dietitian to be notified if weight concerns were noted. However, the facility did not obtain weekly weights for the resident during several weeks between August 2024 and December 2024, despite the resident being at nutritional risk due to diagnoses including diabetes and experiencing significant weight loss. The resident, who was cognitively intact and independent in eating, experienced a weight loss of 7.65% over three months, which was not part of a prescribed weight-loss regimen. Despite being on a carbohydrate-controlled diet and receiving house supplements, the facility failed to document weekly weights consistently. Interviews with the VP of Nutrition and the Director of Nursing confirmed the oversight in monitoring and documenting the resident's weight as per the facility's protocol.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to adhere to infection control practices during medication administration, specifically concerning Enhanced Barrier Precautions (EBP) and hand hygiene. An LPN did not follow the facility's policy on EBP while administering medications via a PEG tube to a resident. The facility's policy mandates the use of gowns and gloves during high-contact activities, such as device care, to prevent the transmission of multidrug-resistant organisms. However, the LPN did not wear a gown and failed to perform hand hygiene after removing gloves and before donning new ones. The resident involved had a diagnosis of gastrostomy and was moderately cognitively impaired, as indicated by a BIMS score of 12. Physician's orders required EBP related to the PEG tube every shift. Despite a sign indicating enhanced barrier precautions on the resident's door, the LPN did not recognize the need for PPE, stating that the resident was not sick. The Director of Nursing confirmed that staff should be aware of EBP requirements and that the LPN should have worn PPE and performed proper hand hygiene during the medication administration process.
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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.
Illustrative
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Jackson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mission Convalescent Home | 1.2 mi | ★★★★★ | 0 | 0 |
| Cypress Grove Post Acute | 2.7 mi | ★★★★★ | 0 | 0 |
| West Tennessee Post Acute | 2.8 mi | ★★★★★ | 0 | 0 |
| Maplewood Health Care Center | 5.1 mi | ★★★★★ | 3 | 0 |
| Northbrooke Post Acute | 6.1 mi | ★★★★★ | 0 | 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.