Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Laurellwood Post- Acute And Rehabilitation Center during CMS and state inspections, most recent first.
Two residents were involved in a sexual abuse incident when a CNA entered a darkened room and found one resident in a wheelchair at the bedside of another, who was lying in a fetal position with her brief pulled down, while the wheelchair-bound resident had a clenched fist against her genital area and his other hand on his exposed penis. The alleged victim had dementia, a BIMS score indicating significantly impaired cognition, and a documented lack of capacity for sexual consent, with a care plan calling for cueing, reorientation, and supervision. Staff and leadership reported that the alleged perpetrator frequently visited other residents’ rooms and masturbated in his shared room, and a prior inappropriate interaction between the same two residents in the dining room had been redirected but not reported. The resident’s representative also reported multiple prior occasions of finding the male resident in the female resident’s room with the door shut and notifying staff, who stated they would separate and monitor them more closely, indicating a failure to adequately identify, assess, and monitor behaviors that could lead to resident-to-resident sexual abuse.
A resident with dementia, behavioral disturbances, and a documented diagnosis of high-risk heterosexual behavior had a care plan addressing depression, dementia, and hypersexual behaviors, including interventions to anticipate needs, protect others, monitor behaviors, and document episodes. However, staff interviews and records showed the plan was not effectively implemented: a CNA discovered the resident in another resident’s room with the other resident’s brief pulled down and the resident’s hand against the other resident’s genital area while the resident’s penis was exposed, and a prior inappropriate interaction between the same two residents in the dining room had gone unreported. The DON, an LPN, and CNAs, including one assigned to 1:1 supervision, were unaware of the hypersexual diagnosis, specific behaviors to monitor, or the reasons for enhanced supervision, and an observation later found the resident in the dining room without continuous 1:1 supervision, contrary to the documented behavioral concerns and facility policy requiring that staff be informed of their care plan responsibilities.
Failure to Supervise Residents to Prevent Sexual Abuse
Penalty
Summary
The deficiency involves the facility’s failure to adequately supervise residents to prevent resident-to-resident sexual abuse, resulting in an incident between two residents. A CNA reported that during a breakfast tray pass she noticed that one resident’s door, which was usually open, was closed and the room was dark. Upon entering, she observed one resident in a wheelchair at the bedside of another resident, who was lying in bed in a fetal position with her brief pulled down. The CNA saw the wheelchair-bound resident with a clenched fist against the other resident’s vagina and the other hand on his exposed penis. The CNA immediately separated the residents and removed the alleged perpetrator from the room. The resident who was the alleged victim had a history of dementia and significantly impaired cognition, with a BIMS score of 5, and was care planned for impaired cognitive function, dementia, and memory loss. Her care plan included interventions such as cueing, reorientation, supervision as necessary, and maintaining a consistent routine to decrease confusion. A facility assessment of capacity for sexual consent documented that this resident lacked capacity to consent to sexual activity. Progress notes documented that she was found lying in bed with her gown raised in a fetal position, that a head-to-toe skin check revealed no injuries, and that she denied knowing anything had occurred. Psychiatry and medical assessments noted no signs or symptoms of abuse-related distress and that she was confused but at baseline. Prior to the incident, there were indications of ongoing boundary and behavioral concerns that were not effectively addressed. The CNA stated she had worked with both residents many times and knew that the alleged perpetrator frequently went into the alleged victim’s room, appeared very friendly, and needed redirection, but she was unaware of any behavioral diagnoses until after the incident. She also described a previous inappropriate interaction in the dining room months earlier, where the male resident was at the female resident’s table smiling, and the female resident opened her legs and began to open her incontinence brief; the CNA redirected the resident but did not report the incident because she did not know about the male resident’s behaviors and did not think it was serious. The resident’s representative reported having seen the male resident in the female resident’s room with the door shut on three separate occasions, including times when he had his hand on her arm, and stated that each time they informed staff at the entrance, who said they would separate the residents and watch them more closely. Facility leadership and nursing staff reported that they were not aware of the male resident’s hypersexual behavior diagnosis or any significant behavioral issues prior to the incident, despite knowledge that he frequently masturbated in his shared room. These actions and inactions demonstrate a failure to identify, assess, care plan, and monitor residents with behaviors that might lead to conflict or abuse, as required by the facility’s abuse, neglect, and exploitation policy.
Failure to Implement Care Plan for Resident With Hypersexual Behaviors
Penalty
Summary
The deficiency involves the facility’s failure to implement care plan interventions related to a resident’s known hypersexual behaviors. The resident was admitted with dementia, behavioral disturbances, psychotic and mood disturbances, and was later diagnosed with high-risk heterosexual behavior. The resident’s care plan, initiated on 01/05/2026, identified a focus on potential behaviors related to depression, dementia, and hypersexual behaviors, with a goal of no evidence of behavior problems. Interventions included anticipating and meeting needs, assisting with appropriate coping and interaction, encouraging appropriate expression of feelings, providing opportunities for positive interaction, intervening to protect the rights and safety of others, removing the resident from situations as needed, monitoring behavior episodes to determine underlying causes, and documenting behaviors and potential causes. Despite these identified interventions, staff interviews and record review showed that the care plan was not effectively implemented. A physician note documented that over a weekend, staff observed the resident attempting to touch a female resident, and the resident was described as non-verbal with a history of impulsive behaviors. A psychiatry note indicated ongoing behavioral concerns involving inappropriate gestures toward staff and other residents, with the resident demonstrating limited awareness of their behavior. A CNA reported witnessing an incident during breakfast tray pass where the resident was found in another resident’s darkened room, with that resident lying in a fetal position with their brief pulled down, while the resident had a clenched fist against the other resident’s vagina and their other hand on their exposed penis. The CNA separated the residents and removed the resident from the room. The same CNA also described a prior unreported inappropriate interaction between the same two residents in the dining room months earlier, where the other resident opened their legs and incontinence brief toward the resident, and the CNA redirected but did not report the incident. Multiple staff interviews revealed a lack of awareness and implementation of the care plan and the resident’s hypersexual diagnosis. The DON stated she had not read the treatment plan and was unaware of the hypersexual behavior diagnosis. An LPN who had cared for the resident did not know of the hypersexuality diagnosis or behaviors, although they knew the resident frequently masturbated in a shared room. A CNA assigned to one-to-one supervision for the resident reported not knowing what specific behaviors to watch for or the reason for the one-to-one assignment. Observation in the dining area showed the resident and the other involved resident seated in the same room without staff at their tables and without continuous one-to-one supervision for several minutes, until a CNA returned with a behavior monitoring form. The Nursing Home Administrator also reported being unaware of the resident’s hypersexual behavior diagnosis and not being concerned about behavioral issues, despite the facility’s policy requiring that qualified staff responsible for carrying out care plan interventions be notified of their roles and responsibilities.
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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 Saint Petersburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Abbey Rehabilitation And Nursing Center | 2 mi | — | 16 | 0 |
| Vivo Healthcare Gateway | 2.1 mi | — | 1 | 0 |
| Vivo Healthcare St Petersburg | 2.3 mi | — | 0 | 0 |
| Pinellas Park Fl Opco, Llc | 2.4 mi | — | 4 | 3 |
| Golfview Nursing Center | 2.9 mi | — | 2 | 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 August 2026) and official state health department websites.