Lamar Healthcare & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lamar Healthcare & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF692Apr 2, 2026

  Based on observation, interview, and record review, the facility failed to ensure a resident received necessary nutritional and hydration care and services to maintain nutritional status, including failing to offer alternative food items when meals were refused, failing to consistently document meal intake and weights, and failing to monitor, evaluate, and implement timely interventions, which contributed to a delay in identifying and addressing significant weight loss for one (1) of two (2) residents reviewed for nutrition. […]

• Actual harm, isolatedF697Apr 2, 2026

  Based on observation, interviews, record review, and facility policy review, the facility failed to ensure appropriate pain management when nursing staff failed to assess and manage pain prior to and during wound care for Resident #4 which resulted in the resident experiencing avoidable pain during wound care and failed to administer ordered pain medication for Resident #47 for two (2) of three (3) residents reviewed for pain management.Findings include: A review of the facility's policy, Pain – Clinical Protocol, undated, revealed, Assessment and Recognition.2. […]

• Actual harm, isolatedF550Jun 27, 2024

  MS CI #25290 Based on observation, staff and resident interviews, record review, and facility policy review, the facility failed to ensure residents dignity, physical, mental or psychosocial needs were met as evidenced by residents not receiving assistance with incontinence care in a reasonable timeframe for two (2) of 17 sampled residents. (Resident #8 and Resident #34) Findings include: Review of the facility's policy, Routine Resident Checks revised July 2013, revealed Staff shall make routine resident checks to help maintain resident safety and well-being. Policy Interpretation and Implementation .2. […]

• Actual harm, isolatedF656Jun 27, 2024

  Based on observation, staff interviews, record review, and facility policy review, the facility failed to implement comprehensive care plan interventions regarding incontinence care for two (2) of 17 care plans reviewed. (Resident #8 and Resident #34) Findings Include: Record review of the facility's policy, Care Plans, Comprehensive Person Centered revised March 2022, revealed, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Policy Interpretation and Implementation .3. The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment.7. […]

• No harm, potential for more than minimal, widespreadF725Apr 2, 2026

  Based on interview and record review, and facility policy review, the facility failed to ensure Registered Nurse (RN) staffing was adequate to meet the needs of residents and failed to designate a licensed nurse to serve as the designated charge nurse for each tour of duty for one (1) of four (4) days of survey. Findings include:A review of the facility's policy, Staffing, Sufficient and Competent Nursing, revised August 2022 revealed, .Our facility provides sufficient numbers of nursing staff with the appropriate skills and competency necessary to provide nursing and related care and services for all residents in accordance with resident care plans and the facility assessment.Policy Interpretation and Implementation Sufficient Staff.2. […]