Lawrence Memorial Hospital SNF

In the surveyor’s words

From the most serious findings on record at Lawrence Memorial Hospital SNF, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF575Oct 14, 2024

  The facility identified a census of nine residents. The sample included eight residents. Based on observation, record review, and interviews, the facility failed to post the required information including a list of names, addresses (mailing and e-mail), and telephone numbers of all pertinent State Agencies and advocacy groups. This deficient practice placed all residents at risk for impaired resident rights. Findings included: - On 10/14/24 at 01:48 PM, an empty resident room had a posting that directed if a resident had a concern, the resident could call the facility's patient advocate and listed the phone number. On 10/14/24 at 02:29 PM, a bulletin board in the hallway displayed thank you cards from residents and families over most of the board. […]

• No harm, potential for more than minimal, widespreadF585Oct 14, 2024

  The facility identified a census of nine residents. The sample included eight residents. Based on observation, record review, and interviews, the facility failed to implement a system to allow residents and/or their representatives to file grievances anonymously. This deficient practice placed the residents at risk for decreased psychosocial well-being. Findings Included: - On 10/14/24 at 01:48 PM an inspection of the facility revealed a posting in an empty resident room that directed if a resident had a concern, they were to call the facility's patient advocate. A Resident Rights poster was located near the nurse's station; however, it did not have directions on how to file anonymous grievances. […]

• No harm, potential for more than minimal, widespreadF620Oct 14, 2024

  The facility identified a census of nine residents. The sample included eight residents. Based on record review and interviews, the facility failed to establish and implement an admissions agreement that protected the residents' right to personal property. This deficient practice had the risk of loss of personal property, including property of monetary and/or sentimental value, and loss of dignity and personal right to property for residents admitted to the facility. Findings included: - A review of the facility's Consent to Treatment Authorizations/Agreements/Insurance assignments revealed under the section titled Personal Belongings documented the facility maintained a safe for the storage of patient valuables and recommends that residents place any valuables in the safe during their… […]

• No harm, potential for more than minimal, widespreadF838Oct 14, 2024

  The facility identified a census of nine residents. The sample included eight residents. Based on record review and interviews, the facility failed to develop a facility assessment that accurately reflected the required sections of a facility assessment including services provided, staff required, staff competencies, and religious practices. This deficient practice placed the residents at risk for unidentified care needs and inadequate care and services. Findings included: A review of the facility-provided Facility Assessment revealed an undated, half-page document, titled Transitional Care Unit Facility Assessment provided by the facility on 10/14/24. […]

• No harm, potential for more than minimal, isolatedF623Oct 14, 2024

  The facility identified a census of nine residents. The sample included eight residents with one resident reviewed for hospitalization . Based on record review and interviews, the facility failed to provide written notification within a practicable timeframe of a facility-initiated transfer to Resident (R) 3 or his representative. The facility further failed to notify the State Long Term Care Ombudsman (LTCO) of facility-initiated transfers/discharges for R3. This deficient practice had the risk of miscommunication between the facility and resident/representative and possible missed opportunities for healthcare services for R3, and placed R3 at risk for impaired rights. Findings included: - R3 admitted to the facility on [DATE] and discharged to the hospital on 07/30/24. […]