Lawrence Hall Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Lawrence Hall Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 14, 2023

  Based on record review, and interview, the facility failed to ensure that transfers were conducted according to manufacturer's guidelines to decrease the potential for injury for 1 (Resident #1) of 3 (#1, #2, #3) sampled residents who were dependent on mechanical lifts for transfers. This had the potential to cause more than minimal harm to 38 residents who required a lift for transfers, according to a list provided by the Administrator [DATE] at 10:50am. This failed practice resulted in past non-compliance Immediate Jeopardy for Resident #1, who was transferred with a mechanical lift which overturned during the transfer resulting in a fall. The Administrator was notified of the past non-compliance Immediate Jeopardy on [DATE] at 3:52pm. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2022

  Based on observation, record review, and interview, the facility failed to ensure 1 of 3 ice scoop holders and 1 of 3 ice machines were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from 1 of 1 kitchen; failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; failed to ensure 1 of 3 ice scoops and 1 of 3 ice machines were maintained in a clean and sanitary condition to prevent potential contamination of residents' beverages for residents who received meals from 1 of 1 kitchen; expired food items were promptly removed/discarded by the expiration… […]

• No harm, potential for more than minimal, widespreadF804Nov 10, 2021

  Based on observation, record review and interview, the facility failed to ensure food was not overcooked and meals were served at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 2 of 2 meals observed. The failed practices had the potential to affect 95 residents who received meals from the kitchen (total census: 100), as documented on a list provided by the Dietary Supervisor on 11/8/2021. 1. On 11/7/21 at 12:33 PM, an unheated food cart that contained 17 lunch trays was delivered to the 400 Hall by Certified Nursing Assistant (CNA) #1. […]

• No harm, potential for more than minimal, widespreadF812Nov 10, 2021

  Based on observation, record review, and interview the facility failed to ensure an ice machine and ice scoop holder were maintained in a clean condition; food items stored in the refrigerator, freezer and dry storage area were properly labeled, dated, and sealed; expired food items were promptly removed / discarded; dietary staff washed their hands before handling clean equipment or food, and mechanically altered food was prepared using the same freshly prepared food used for other diets, rather than from leftovers to prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, patternF880May 29, 2025

  Based on observation, interview, record review, and facility policy review, it was determined that the facility failed to ensure Enhanced Barrier Precautions (EBP) were utilized for 1 (Resident #5) of 4 residents reviewed for pressure ulcers. The findings include: 1. A review of an admission Record, indicated Resident #5 had diagnoses which included a stage 2 pressure ulcer of the right buttocks. (A stage 2 pressure injury indicates partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough or bruising). a. A review of the admission Minimum Data Set (MDS) with an Assessment Reference Date of 03/07/2025, revealed Resident #5 had a Brief Interview for Mental Status score of 03, which indicated the resident had severe cognitive impairment. […]