Lawndale Healthcare & Wellness Centre LLC

In the surveyor’s words

From the most serious findings on record at Lawndale Healthcare & Wellness Centre LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF656Jul 5, 2024

  Based on observation, interview and record review, the facility failed to ensure a comprehensive person-centered care plan (a written plan of care developed by the resident's medical provider, the interdisciplinary team ([IDT] group of healthcare professionals working together to provide residents with needed care), and the resident to help resident achieve his or her treatment goals) was developed and implemented for the safe storage of smoking materials (cigarettes and lighters) for three of three sampled residents (Residents 1, 2 and 3), who were smokers by failing to ensure: 1). Resident 1 did not have a cigarette lighter in her purse on 7/2/2024 at 1:45 p.m. 2). Resident 2 did not have a lighter on her wheelchair seat while in the room, on 7/2/2024 at 1:50 p.m. 3). […]

• Actual harm, isolatedF600Mar 28, 2024

  Based on interview and record review, the facility failed to: 1. Ensure Resident 1 was being monitored for wandering (a person that roams around and becomes lost or confused about their location) throughout the facility. 2. Ensure staff followed Resident 1's Care Plan (CP) titled Resident is an elopement risk/wanderer related to dementia (a decline in memory, language, problem-solving and other thinking skills that affect a person ' s ability to perform everyday activities) with intervention requiring a sitter for constant monitoring for safety purposes. 3. Ensure staff followed Resident 1's CP titled Risk for harm, other directed behavior potentially causing harm (episodic). Resident 1 enters other residents rooms, takes, and moves their personal items. 4. […]

• Actual harm, isolatedF684Dec 27, 2022

  Based on interview and record review, the facility failed to provide necessary care to a resident who was residing in the isolation area (an area that keeps residents with certain medical conditions separate from other people while they receive medical care) due to the corona virus ([COVID-19] deadly virus that easily spreads from person to person) for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure licensed nurses monitored (checked) Resident 1 ' s vital signs (measurementsof the body's most basic functions such as blood pressure [pressure of the circulating blood against the walls of the blood vessels], temperature [measurement of the heat inside the body], pulse (the rate at which the heart beats), respiration (breathing rate) and oxygen saturation (the… […]

• No harm, potential for more than minimal, widespreadF812Jan 23, 2026

  Based on observation, interview and record review, the facility failed to ensure for 52 of 56 medically compromised and vulnerable residents who received food from the kitchen: Ensure personal water bottle were not kept at dry storage area.Ensure opened disinfecting wipes were not kept at dry storage area.Ensure expired food items were removed from the kitchen area.Ensure test strips used to test sanitation strength were not expired.These failures had the potential to result in harmful bacteria growth and cross contamination (a transfer of harmful bacteria from one place to another or one object to another) that could lead to foodborne illness (an illness caused by food contaminated with bacteria, viruses, and other toxins). […]

• No harm, potential for more than minimal, widespreadF880Jan 23, 2026

  Based upon interview and record review, the facility failed to: 1. Follow its' policy and procedures for the testing of Legionella (a serious type of pneumonia caused by Legionella bacteria found in [NAME] environments that can thrive in human-made water systems) and other opportunistic waterborne pathogens within the facility's water systems. This deficient practice had the potential to cause residents and staff to become ill with Legionnaire's disease or other opportunistic waterborne pathogens.Findings: During a review of the facility's water management binder, on 1/23/2026 at 8:25 a.m., the water management binder was observed to have blank testing logs for Legionella and other water pathogens. […]