Starfile / Virginia

THE LAURELS OF WILLOW CREEK

11611 ROBIOUS ROAD, MIDLOTHIAN, VA 23113 · CCN 495257

Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

CIENA HEALTHCARE/LAUREL HEALTH CARE

Facilities in chain

84

Chain avg overall

2.80 / 5

Inspection citations (54)2 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

2. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

3. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

4. DF0641Ensure each resident receives an accurate assessment.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

5. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

6. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

7. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

8. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

9. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-13 · Health · corrected 2023-10-16

   Potential for more than minimal harm

10. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-09-13 · Health · corrected 2023-10-16

    Potential for more than minimal harm

11. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-09-13 · Health · corrected 2023-10-16

    Potential for more than minimal harm

12. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2023-09-13 · Health · corrected 2023-10-16

    Potential for more than minimal harm

13. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-13 · Health · corrected 2023-10-16

    Potential for more than minimal harm

14. CF0732Post nurse staffing information every day.2023-09-13 · Health · corrected 2023-10-16

    Potential for minimal harm

15. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-13 · Health · corrected 2023-10-16

    Potential for more than minimal harm

16. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-09-13 · Health · corrected 2023-10-16

    Potential for more than minimal harm

17. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-09-13 · Health · corrected 2023-10-16

    Potential for more than minimal harm

18. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-13 · Health · corrected 2023-10-16

    Potential for more than minimal harm

19. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

20. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

21. DF0641Ensure each resident receives an accurate assessment.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

22. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

23. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

24. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-03-24 · Health · corrected 2022-06-02

    Potential for more than minimal harm

25. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

26. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-03-24 · Health · corrected 2022-06-02

    Potential for more than minimal harm

27. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-03-24 · Health · corrected 2022-06-02

    Actual harm

28. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

29. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

30. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

31. GF0760Ensure that residents are free from significant medication errors.2022-03-24 · Health · corrected 2022-04-19

    Actual harm

32. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

33. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-03-24 · Health · corrected 2022-06-02

    Potential for more than minimal harm

34. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

35. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2022-03-24 · Health · corrected 2022-04-19

    Potential for more than minimal harm

36. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

37. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

38. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

39. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

40. DF0610Respond appropriately to all alleged violations.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

41. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

42. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

43. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

44. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

45. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

46. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

47. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

48. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

49. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

50. EF0695Provide safe and appropriate respiratory care for a resident when needed.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

51. DF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

52. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

54. DF0880Provide and implement an infection prevention and control program.2019-03-14 · Health · corrected 2019-04-26

    Potential for more than minimal harm

Ownership

Other facilities in MIDLOTHIAN

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.