Lawson Manor & Rehab

In the surveyor’s words

From the most serious findings on record at Lawson Manor & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 18, 2025

  Based on observation, interview, and record review, the facility failed to protect Resident#1's right to be free from abuse when he/she was choked around the neck by another resident (Resident #2) causing redness to Resident #1's neck and Resident #1 feared Resident #2. Facility census was 48.Review of the facility's Abuse, Neglect, Exploitation and Misappropriation Prevention Program policy, dated April 2021, showed:-Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. […]

• Actual harm, isolatedF600Jul 30, 2025

  Based on interview and record review, the facility failed protect one sampled resident's (Resident #1) right to be free from physical abuse when Resident #2 grabbed Resident #1 by his/her arms and pushed him/her backwards causing Resident #1 to fall and sustain a skin tear approximately 3 inches in length to the underside of the resident's left arm. The facility census was 44.On 7/30/25, the Administrator was notified of the past noncompliance which began on 7/23/2025. The facility administration immediately conducted an investigation and corrective actions were implemented. The noncompliance was corrected on 7/28/25. Review of the facility's Abuse Policy, revised April 2021.,showed: -The residents have the right to be free from abuse. […]

• Actual harm, isolatedF742Nov 7, 2023

  Based on interview and record review, the facility failed to provide protective oversight for one resident (Resident #1), who displayed behaviors of self-harm including a recent attempt to commit suicide on [DATE], and failed to verbally communicate with the resident's physician regarding the residents behaviors of attempted self harm and of the resident's death, at the time the death occurred. The facility additionally failed to provide appropriate interventions and monitoring when they relied on the resident's roommate to alert staff when he/she determined the the resident needed assistance. The facility census was 45. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2025

  Based on observation, interviews, and record review, the facility failed to ensure staff stored food in a sanitary manner in the memory care unit, failed to maintain the dining room in a clean and sanitary manner, and failed to ensure the kitchen serving area was is good repair. This had the potential to affect all residents residing on the memory care unit. The facility census was 42. The facility did not provide the requested policy on cleaning and repair of the kitchen. 1. Observation of the dining room and food serving area of the memory care unit on 06/02/25 at 10:38 A.M. […]

• No harm, potential for more than minimal, widespreadF727Mar 18, 2024

  Based on observations and interviews, the facility failed to hire or designate a Registered Nurse (RN) to serve as the Director of Nursing (DON) on a full time basis. The facility census was 40. The facility provided an undocumented time frame for when the facility had a DON working which showed: - A DON worked from 1/23/23 - 3/5/23; - A DON worked from 3/6/23 - 6/20/23; - A DON worked from 6/21/23 - 9/15/23; - A DON worked from 9/16/23 - 1/16/24; - A DON worked from 2/9/24 - 3/9/24. Observations from 3/12/24 through 3/15/24 and on 3/18/24, at various times showed the facility had charge nurses (CN) available, but did not have a DON. […]