Lawrence Street Health Care Center

In the surveyor’s words

From the most serious findings on record at Lawrence Street Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 2, 2025

  Based on observation, interview and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 5 residents (CR #1) reviewed for accidents and supervision.The facility failed to ensure CR #1 did not elope from the facility on 11/19/24, after being let out by staff to the patio area to smoke unsupervised. CR #1 was found by the previous Social Worker approximately 30 minutes later by a gas station.The non-compliance was identified as PNC. The IJ began on 11/19/24 and ended on 11/19/24. The facility had corrected the non-compliance before the survey. […]

• No harm, potential for more than minimal, widespreadF812Jun 3, 2022

  Based on observations, interviews, temperature log review, and facility policy and procedure review, the facility failed to ensure food was served in accordance with professional standards for food service safety. Specifically, the dishwasher did not reach the appropriate temperature to sanitize the dishes. The deficient practice affected 40 of 44 residents of the facility who received meals from the kitchen. Findings included: A review of the policy titled, Sanitization, revised October 2008, revealed, Dishwashing machines must be operated using the following specifications: Low-Temperature dishwasher (chemical sanitation) wash temperature (120 degrees F [Fahrenheit]). […]

• No harm, potential for more than minimal, widespreadF645Feb 11, 2021

  Based on observation, interview and record review, the facility failed to ensure individuals with mental health disorders were provided an accurate PASRR for 4 of 4 residents, (Residents # 2, 6, 39, and 45) reviewed for PASRR Level 1 screenings. The facility did not send the correct PASRR Level 1 screening to the local authority for Residents #2, 6, 39, and 45. This failure could affect residents with mental illness and place them at risk for a diminished quality of life and not receiving necessary care and services in accordance with individually assessed needs. Findings include: Resident #2 Record review of Resident #2's admission record revealed the resident was a [AGE] year-old female admitted to the facility on [DATE] and readmitted on [DATE]. […]

• No harm, potential for more than minimal, patternF761Aug 22, 2024

  Based on observation, interviews and record review the facility failed to ensure all drugs and biologicals were stored securely for one (Nurse Cart for B Hall/D Hall) of three medication carts reviewed for storage of medications. The Nurse Cart for B Hall/D Hall contained medications without resident identifiers. The Nurse Cart for B Hall/D Hall contained a narcotic medication blister pill card with a punctured protective seal. The failures could place all residents at risk of not receiving the therapeutic benefit of medications, infection, adverse reactions to medications and drug diversion. Findings included: Record review of Resident #2's face sheet dated 08/20/2024 reflected a [AGE] year-old female, admitted to the facility on [DATE] and initially admitted on [DATE]. […]

• No harm, potential for more than minimal, patternF814Aug 22, 2024

  Based on observation, interview, and record review the facility failed to dispose of garbage and refuse properly for 1 of 2 dumpster reviewed for food and nutrition services. -The facility failed to ensure the dumpster door was closed at all times when no one was dumping garbage . This failure could place residents at risk of infection from improperly disposed garbage. Findings include: Observation on 08-20-24 at 8:45 am, revealed the facility's dumpster area, which was in the lot behind the dietary department had a commercial -size dumpster 3/4 full of garbage and dumpster door was open. […]