Lawrence Rehab & Hcc/The Meadows at Lawrence

In the surveyor’s words

From the most serious findings on record at Lawrence Rehab & Hcc/The Meadows at Lawrence, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 23, 2026

  Based on observation, interviews, review of medical records, and review of other pertinent facility documents on 07/23/2026, it was determined that the facility failed to maintain a safe environment for a resident (Resident #2), with severe cognitive impairment. The facility staff failed to follow their Resident Leaves of Absence policy requiring authorization by Resident #2's Power of Attorney (POA), before the resident left the facility with a caregiver. This deficient practice was identified for 1 of 3 residents (Resident #2) reviewed for incidents and was evidenced by the following: On 7/19/2026 at approximately 9:30 AM, an outside Home Health Aide (HHA #1) informed facility staff that they were at the facility to take Resident #2 out on a Leave of Absence (LOA) pass. […]

• Immediate jeopardy, isolatedF600Jul 15, 2026

  Complaint #: 2988988, 3074567Based on observation, interviews, review of medical records and review of pertinent facility documents on 07/14/2026 and 07/15/2026, it was determined that the facility failed to ensure that a cognitively impaired resident (Resident #2) who was dependent on staff for care, was protected from physical and verbal abuse by a Certified Nursing Assistant (CNA #1).Resident #2 was physically and verbally abused by CNA #1 on 04/13/2026. This deficient practice was identified for 1 of 7 residents (Resident #2) reviewed for abuse and was evidenced by the following: A review of the facility's policy on Abuse, Neglect, and Exploitation and Misappropriation Prevention Program, revised date of April 2021, included under Policy Statement: Residents have the right to be free… […]

• Immediate jeopardy, isolatedF689Dec 1, 2025

  Complaint #: 2674711 Based on observation, interviews, review of medical records, and review of other pertinent facility documents on 11/25/2025, it was determined that the facility failed to provide adequate supervision to a cognitively impaired resident who wore a wander guard and had a known history of wandering (Resident #2), who eloped from the facility on 11/17/2025. The deficient practice was identified for 1 of 3 residents reviewed for elopement (Resident #2).During the survey a finding that constituted Immediate Jeopardy (IJ) was identified under CFR 483.12(a)(1) F689. […]

• No harm, potential for more than minimal, widespreadF812Sep 4, 2025

  Based on observation, interview, and the 2017 Food Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA), the facility failed to prevent the potential for cross-contamination by allowing the drain from the ice machine to extend down into the floor drain. This had the potential to affect 156 of 165 residents receiving meals from the kitchen.Findings include: Review of the facility's policy titled, Ice Machines and Ice Storage Chests, dated January 2012 (sic) revealed, Policy Statement: Ice machines and ice storage/distribution containers will be used and maintained to assure a sage and sanitary supply of ice. Policy Interpretation and Implementation: 1. […]

• No harm, potential for more than minimal, widespreadF730Apr 9, 2024

  Based on interview and review of pertinent facility documents, it was determined that the facility failed to complete performance review of Certified Nurse Aides (CNA) at least every twelve months and provide regular in-service education based on the outcome of these reviews. The deficient practice was identified for 5 of 5 CNAs (CNA #1; #2; #3; #4; and #5) reviewed for performance evaluations and was evidenced by the following: On 4/3/24 at 10:01 AM, the Licensed Nursing Home Administrator (LNHA) provided the surveyor with five randomly selected CNA employees' education for 2023. The LNHA stated that she could not locate the CNAs' employee performance reviews for 2023. […]