Shady Lawn Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Shady Lawn Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF690Mar 26, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure a Foley (indwelling catheter) securement device was in place to prevent tension and pulling on the catheter for one (1) of two (2) residents reviewed for bowel and bladder/catheters. (Resident #53). Findings include:A review of the facility's policy Incontinence Management, revised 01/2020, revealed, . Management of an Indwelling Catheter in the Long-Term Care Setting . Secure catheters to the upper thigh or lower abdomen to avoid bladder and urethral trauma .A record review of the admission Record revealed the facility admitted Resident #53 initially on 1/27/26 and readmitted on [DATE] with diagnoses including Bladder-Neck Obstruction.A record review of the admission Minimum Data Set… […]

• No harm, potential for more than minimal, isolatedF641May 2, 2024

  Based on observation, resident and staff interviews, record review, and facility policy review the facility failed to transmit accurate assessments for two (2) of 2 residents reviewed for Minimum Data Set (MDS) assessments. Resident #5 and Resident #10. Findings include: Review of the facility policy titled, Medicare Management with a revision date of 10-2023 revealed, .b .Coding of Assessment: i. All disciplines shall follow the guidelines in Chapter 3 of the current Resident Assessment Instrument (RAI) Manual for coding each assessment. Review of the facility policy titled, Chapter 3: Overview to the item-by-item guide to the MDS 3.0 dated October 2023 revealed, This chapter provides item-by-item coding instructions for all required sections and items in the MDS Version 3.0 item sets. […]

• No harm, potential for more than minimal, isolatedF656May 2, 2024

  Based on observations, resident and staff interview, record review, and facility policy review the facility failed to develop a smoking care plan for Resident #36 and failed to develop a care plan for nail care for Resident #63 for two (2) of 19 care plans reviewed. Resident #36 and Resident #63. Findings include. A review of the facility policy with a revision date of 03/2019, titled Comprehensive Care Plan, revealed: Standard: It is the policy of this facility to develop and implement a comprehensive person - centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframe's to meet a resident's medical, nursing and mental and psychosocial needs that are identified in the resident's comprehensive assessment . […]

• No harm, potential for more than minimal, isolatedF677May 2, 2024

  Based on observation, staff interview, record review, and facility policy review, the facility failed to provide the necessary nail care for a resident as evidenced by long, thick fingernails for one (1) of 17 sampled residents. Resident #63 Findings Include: Review of the facility policy titled Resident Hygiene with a revision date of 06/2022 revealed Purpose: The purpose of this procedure is to clean the nail bed to keep nails trimmed and to prevent infections. Nail care includes cleaning and trimming as needed. Proper nail care can aid in the prevention of skin problems around the nail bed. […]

• No harm, potential for minimal, widespreadF732Mar 26, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure daily nurse staffing information was posted in a manner that was readily accessible and readable to residents, staff, and visitors for three (3) of four (4) survey days, with the potential to affect all eighty-three (83) residents in the facility. Findings include:A review of the facility's policy Facility Staff Posting Information, revised 09/2023 revealed, . It is the standard of this facility to have sufficient qualified staff available to provide nursing and related services.Standard Explanation and Compliance Guidelines . 4. […]