Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Court during CMS and state inspections, most recent first.
A resident with autistic disorder, dementia, and significant ADL dependence had PASARR Level II recommendations and a care plan indicating the need for habilitative OT services. During a PASARR IDT meeting, the LAR requested re-evaluation for OT, and new specialized OT services were marked, but facility staff did not submit the required NFSS request for OT through the Simple LTC portal within the mandated timeframe. Key staff either did not attend the PASARR meeting or were unaware of the submission deadline, resulting in the resident not receiving the PASARR-authorized OT services despite facility policy requiring coordination with PASARR.
A resident with a complex pain management regimen did not receive the full prescribed evening dose of Gabapentin due to a medication aide's decision to administer only part of the ordered amount without consulting a nurse for clarification. The aide believed the orders were duplicative and failed to follow protocol, resulting in a significant medication error as defined by facility policy.
A resident with a complex medical history did not receive the prescribed evening dose of Gabapentin for pain management when a medication aide, noticing two similar orders, independently decided to administer only half the ordered dose without consulting a nurse. This resulted in a significant medication error, as the resident was not given the 600 mg dose as intended by the physician.
A resident with an indwelling Foley catheter, who required substantial assistance and had multiple diagnoses including neuromuscular bladder dysfunction, was observed without a securement device for her catheter. Staff interviews and record review confirmed that the catheter should have been secured with a leg strap per physician orders and facility policy, but this was not done, resulting in a deficiency related to catheter care and infection prevention.
The facility did not establish or maintain a required infection prevention and control program, as observed by surveyors during their review of facility practices.
A facility failed to conduct an accurate PASRR screening for a resident with bipolar disorder and depression, resulting in the resident not receiving necessary mental health services. The resident's medical records showed a negative PASRR Level 1 Screening for mental illness, despite his documented conditions and severely impaired cognitive status. Interviews with staff revealed a lack of awareness and oversight regarding the PASRR process, with the MDS Coordinator and DON admitting to oversights and unawareness of the need for additional screenings.
Failure to Implement PASARR-Recommended Occupational Therapy Services
Penalty
Summary
The facility failed to coordinate assessments and care with the PASARR program by not incorporating the PASARR Level II recommendations for occupational therapy into a resident’s assessment, care planning, and transitions of care. The resident was an older female with autistic disorder, dementia, and a cognitive communication deficit, who required extensive to total assistance with all ADLs and had documented memory problems. Her care plan identified PASRR-positive status related to an intellectual disability and included an intervention for habilitative OT services five times per week for a defined period. A PASRR Comprehensive Service Plan meeting documented that the resident’s LAR accepted habilitation coordination and requested that the resident be re-evaluated for OT, with the PASRR form marking new specialized assessment and specialized OT services. Despite these PASARR determinations, the facility did not complete and submit the required NFSS request for OT through the Simple LTC portal within the 20-day timeframe following the PASARR IDT meeting. Portal records showed an OT assessment had been completed and was pending state review, but the necessary information was not entered in a timely manner. Interviews with the MDS coordinator, DOR, DON, and Administrator revealed that key staff either did not attend the PASARR IDT meeting, were unaware of the required timeframe, or believed the responsibility for portal submission rested with others. Staff acknowledged that, because the NFSS was not submitted within the required timeframe, the resident would not receive the PASARR-authorized OT services. The facility’s written policy stated it would coordinate assessments with the PASARR program to ensure individuals with mental disorders or intellectual disabilities received appropriate care and services, but this coordination did not occur for this resident’s OT services.
Failure to Administer Gabapentin as Ordered Due to Medication Aide Error
Penalty
Summary
A seventy-six year old woman with a history of a Type II Dens fracture, elevated white blood cell count, cervicalgia, pain, and adult failure to thrive was admitted to the facility and had a care plan focused on pain management. Physician orders specified that she was to receive Gabapentin 300 mg three times daily and an additional 300 mg twice daily, totaling five doses per day. Medication administration records and staff interviews revealed that, over several days, the resident did not receive the full prescribed evening dose of Gabapentin. Instead, a medication aide (MA B) administered only 300 mg in the evening, rather than the ordered 600 mg, due to her belief that the orders were duplicative or erroneous. MA B did not consult with a nurse for clarification, as required by facility policy, and marked the medication as given on both orders despite only administering one dose. The medication aide (MA A) who worked the morning shift followed the orders as written and administered the prescribed doses, but also noted the presence of two separate Gabapentin orders in the system. MA A stated that she would consult a nurse if she suspected a discrepancy, but did not perceive an issue in this case. The medication count revealed missing capsules consistent with the number of doses that should have been administered, confirming that not all prescribed doses were given. The nurse practitioner who wrote the orders confirmed that the intent was for the resident to receive 600 mg in the morning and 600 mg in the evening, and that the two orders were entered separately due to system requirements. She was not contacted by staff regarding any confusion about the orders. The facility's policy requires that medication aides administer medications as ordered and consult with a nurse if there is any confusion or suspected error. The Director of Nursing confirmed that staff are expected to follow orders as written and seek clarification when needed. The failure to administer the correct dose of Gabapentin as ordered constituted a significant medication error, as defined by facility policy, and was not reported or clarified by the staff involved.
Failure to Administer Prescribed Gabapentin Dose Due to Medication Aide Error
Penalty
Summary
A deficiency occurred when a resident with a history of a Type II Dens fracture, elevated white blood cell count, cervicalgia, pain, and adult failure to thrive did not receive her prescribed dose of Gabapentin as ordered by the physician. The resident was supposed to receive 600 mg of Gabapentin in the evening for pain management, but was only administered 300 mg on two consecutive evenings by a medication aide (MA B). The medication aide noticed two separate orders for Gabapentin—one for 300 mg three times daily and another for 300 mg twice daily—but chose to administer only one 300 mg capsule in the evening, believing the combined dose was too high and suspecting an entry error. The aide did not consult with a nurse for clarification, as required by facility policy. Record reviews confirmed that the resident's medication administration record (MAR) reflected the administration of only 300 mg Gabapentin in the evening, rather than the ordered 600 mg. Interviews with the medication aides revealed that while one aide (MA A) followed the orders as written, the other (MA B) made an independent decision to alter the prescribed dose without seeking clarification from nursing staff. The nurse practitioner (NP) who wrote the orders confirmed that the intent was for the resident to receive 600 mg in the morning and evening, and that the two separate orders were due to system requirements for MAR documentation. The NP was not contacted by staff regarding any confusion about the orders. The facility's policy on medication errors defines a medication error as any administration not in accordance with physician's orders, and specifically includes wrong dose as an example. The director of nursing (DON) confirmed that staff are expected to follow orders as documented and to seek clarification if there is any confusion. The failure to administer the correct dose as ordered was identified as a significant medication error, with the potential for increased pain for the resident.
Failure to Secure Indwelling Catheter as Ordered
Penalty
Summary
A deficiency was identified when a resident with a history of chronic kidney disease, acute kidney failure, and neuromuscular dysfunction of the bladder was found without a securement device for her indwelling Foley catheter. The resident required substantial to maximal assistance with self-care and was incontinent of both bowel and bladder. Physician orders specified that the Foley catheter anchor should be changed every night shift, and the resident's care plan included interventions to prevent catheter-related trauma, such as securing the catheter and monitoring for signs and symptoms of urinary tract infection (UTI). During observations, it was noted that the resident did not have a strap or device securing the catheter tube to her thigh. The resident reported never having a securement device. Interviews with staff, including a CMA, LVN, DON, and the Administrator, confirmed that the catheter should have been secured with a leg strap according to facility policy and physician orders. The facility's policy on catheter care also specified the use of a leg band to secure the catheter. The failure to ensure the catheter was properly secured constituted the deficiency.
Failure to Implement Infection Prevention and Control Program
Penalty
Summary
The facility failed to provide and implement an infection prevention and control program. This deficiency was identified through surveyor observation and review of facility practices, which revealed that the required infection control measures were not established or maintained as mandated. The report specifically notes the absence of a comprehensive program designed to prevent and control infections within the facility. No additional details regarding specific residents, staff, or events leading to the deficiency are provided in the report.
Failure to Conduct Accurate PASRR Screening for Resident with Mental Health Disorders
Penalty
Summary
The facility failed to ensure that a resident with mental health disorders received an accurate Preadmission Screening and Resident Review (PASRR) screening. The resident, a male with bipolar disorder and depression, was admitted without a PASRR on file for these diagnoses. His medical records showed a PASRR Level 1 Screening with negative results for mental illness, despite his documented conditions. Additionally, his care plan did not address his bipolar disorder, and he was on antipsychotic medication with a severely impaired cognitive status as indicated by a BIMS score of 5 out of 15. Interviews with facility staff revealed a lack of awareness and oversight regarding the PASRR process. The MDS Coordinator admitted to overlooking the resident's mental illness diagnosis and acknowledged the risk of the resident not receiving necessary services. The DON was unaware that an additional PASRR was needed and did not recognize the potential negative effects of an inaccurate PASRR screening. The Administrator confirmed that PASRR screenings were completed prior to admission but acknowledged the risk of the resident not receiving entitled mental health services due to the oversight.
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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 Alvin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Lev At Winchester | 3.5 mi | ★★★★★ | 1 | 0 |
| Friendship Haven Healthcare And Rehabilitation Cen | 8.9 mi | ★★★★★ | 2 | 0 |
| The Heights Of League City | 10.6 mi | ★★★★★ | 10 | 2 |
| Regency Village | 12.1 mi | ★★★★★ | 4 | 0 |
| Oasis At Pearland | 12.4 mi | ★★★★★ | 4 | 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.