Lawrence Co Nursing Center

In the surveyor’s words

From the most serious findings on record at Lawrence Co Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF657Apr 2, 2025

  Based on observation, interviews, record reviews, and facility policy reviews, the facility failed to review and revise the resident's pain to reflect actual pain instead of at risk for pain for one (1) of seventeen (17) residents reviewed for pain. Resident #44. Findings include: Record review of the facility's Care Plan Process, with a revision date of 12/24, revealed The results of the assessment, which must accurately reflect the resident's status and needs, are to be used to review and revise each resident's comprehensive person-centered plan of care. Record review of Resident #44 ' s Care Plan Report with a date initiated of 12/5/24 revealed Focus: The resident IS AT RISK FOR PAIN. This care plan had not been revised to reflect Resident #44's ACTUAL pain. […]

• Actual harm, isolatedF697Apr 2, 2025

  Based on observation, interviews, record reviews, and facility policy reviews, the facility failed to manage the resident's pain to the extent possible in accordance with professional standards and the resident's goals and preferences for one (1) of seventeen (17) residents reviewed for pain, Resident #44. Findings include: Record review of the facility's Pain Screen and Management policy, with a revision date of 12/23, revealed: All residents who experience routine pain receive a comprehensive pain screening and a treatment plan until acceptable level of pain relief is achieved. All residents have the right to treatment for pain. Resident preferences are respected when deciding on methods to be used for pain management. The residents' statements are the most valid measurements of pain. […]

• No harm, potential for more than minimal, widespreadF851Apr 2, 2025

  Based on interviews, facility statement review and Certification and Survey Provider Enhanced Reports (CASPER) data review, the provider failed to ensure their Payroll Based Journal (PBJ)-which includes information on the staffing hours necessary for the appropriate care of the residents-was corrected prior to submission to the Centers for Medicare & Medicaid Services (CMS) for one (1) of four (4) quarters in 2024. (October 1-December 31.) Findings include: Record review of a statement of facility letterhead, undated, and signed by the facility Administrator, revealed There has been an upgrade to the timeclock system which has created some glitches that may have caused reporting issues. […]

• No harm, potential for more than minimal, widespreadF812Feb 1, 2024

  Based on observation, interviews and facility policy review the facility failed to remove expired foods from the dry food storage area for one (1) of four (4) kitchen observations. This has a potential to affect all residents receiving meals prepared by the facility's dietary department. Findings include: Review of the facility's policy, Food Storage Labeling, with a revision date of ,d+[DATE], revealed, POLICY: The facility will ensure the safety and quality of foods by following good storage and labeling procedures. PROCEDURE: . 8 . iv. Foods stored in storage units will be surveyed routinely to identify and discard foods that have passed its manufacturers use-by date or expiration date. Suggested Time frames: 1. […]

• No harm, potential for more than minimal, widespreadF851Feb 1, 2024

  Based on interviews, record review and Certification and Survey Provider Enhanced Reports (Casper) reporting data review, the facility failed to ensure payroll-based journal (PBJ) direct care staffing information was submitted accurately to the Centers for Medicare and Medicaid Services (CMS) for nine (9) of nine (9) months reviewed. Findings include: On 01/29/24 at 11:27 AM, during an interview with the Licensed Practical Nurse (LPN) #1 who is the Infection Preventionist (IP) and Staffing Coordinator, she stated that she is responsible for scheduling Certified Nurse Aides (CNAs) and nurses. She explained some of the nurses are on a Baylor schedule which means they work 16-hour shifts on weekends. LPN #2 and LPN #3 are LPNs that work the Baylor schedule. […]