Lawrence County Manor

In the surveyor’s words

From the most serious findings on record at Lawrence County Manor, in the surveyor’s own words.

• Immediate jeopardy, patternF689Aug 13, 2025

  Based on observation, interview, and record review, the facility failed to ensure all residents' environments were free of accident hazards when the facility failed to implement a process to ensure resident accessible hot water temperatures in all resident access areas were maintained at a safe temperature resulting in the hot water in 12 residents rooms (Resident #2, #12, #24, #25, #6, #68, #36, #34, #15, #44, #55, and #38) and a common bath/shower room to measure between 125.6 to 138 degrees Fahrenheit (F). The facility census was 70.The Administrator was notified on 08/08/25, at 1:55 P.M., of an Immediate Jeopardy (IJ) which began on 08/05/25. The IJ was removed on 08/09/25 as confirmed by surveyor on-site verification. […]

• Actual harm, isolatedF600Sep 7, 2021

  Based on record review and interview, the facility staff failed to ensure two cognitively impaired residents (Resident #1 and Resident #2) in the special care unit (SCU - a locked hall that provides care for residents with dementia) were free from abuse when one staff member (Certified Nurse Aide (CNA) A) assisted the residents in a rough manner and was verbally abusive to them. The facility census was 46. Record review of the facility's Abuse Reporting Policy, revised 7/22/19, showed the following: -The facility will not condone resident abuse by anyone, including staff members, other residents, consultants, volunteers, staff of other agencies serving the residents, family members, legal guardians, sponsors, friends, or other individuals; -Abuse is defined as willful infliction of… […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2025

  Based on observation, interview, and record review, the facility failed to store, prepare and distribute and serve food in accordance with professional standards of practice and in a manner to prevent possible contamination when the facility staff failed to ensure all food items were properly labeled and sealed, failed to ensure expired foods were discarded, and failed to ensure the dishwasher washed and rinsed the dishes at the recommended temperatures. This had the potential to affect all residents who consumed food from the facility kitchen. The facility census was 70 residents.1. Review of the 2022 Missouri Food Code showed food shall be protected from contamination by storing the food in a clean, dry location, and where it is not exposed to splash, dust, or other contamination. […]

• No harm, potential for more than minimal, widespreadF812Sep 22, 2023

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards of practice and protect all food from possible contamination when the facility staff failed to clean the hand washing sink, sink in the food preparation area, floor under the three vat sink, the area between the wall and the stove, fryer, and warming cart, the vent above the ice machine, and failed to repair the walls behind the dishwasher and in the beverage room and tiles and wall under the three vat sink to ensure they were washable surfaces; staff failed wear hair nets appropriately to prevent contamination of food; staff failed to regularly test and have knowledge of the correct temperatures of the dishwashing machines; and the drain from the ice… […]

• No harm, potential for more than minimal, patternF755Dec 12, 2025

  Based on record review and interview, the facility failed to provide pharmaceutical services that assured the accurate acquiring, receiving, and accounting of all drugs when eight cards of narcotics for eight residents (Resident #3, #4, #5, #6, #7, #8, #9 and #10) were found in the former Director of Nursing's (DON's) office desk. The facility census was 64.Review of a facility policy entitled Medications, Narcotics, undated, showed the following:-Narcotics will always be stored under a double lock system;-Each narcotic that the pharmacy dispenses to the facility is accompanied by a narcotic record;-Narcotics will be counted at the beginning and end of each shift by the nurse or CMT ending their shift and the nurse or CMT beginning the shift;-Discontinued narcotics must be pulled from the… […]