West Lawrence Care Center. LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF835Aug 4, 2025

  Based on observations, record review, and interviews conducted during the Recertification and Complaint Survey from 07/28/2025 to 08/04/2025, the facility did not ensure it was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was evident during review of Staffing, Residents' food preferences, Dignity, Home like Environment, Resident Assessment, and Abuse, 1.) The Administration did not ensure the facility was sufficiently staffed to meet the residents' needs, residents' assessments were accurate, and their dietary preferences met. […]

• No harm, potential for more than minimal, patternF675Aug 4, 2025

  Based on interview, observation and record the facility did not ensure each resident received the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care. Specifically, the facility policy and practices did not honor resident's food preferences and required all residents to consume Kosher meals. In addition, residents were permitted to consume outside food or meals prepared or brought in by family members unless prior arrangements were made with facility staff. When outside food was permitted, residents were not allowed to consume these foods in an area of the facility of their own choosing as this food could only be consumed in the Recreation area. […]

• No harm, potential for more than minimal, patternF725Aug 4, 2025

  Based on interview and review of the facility Daily Staffing Reports and Payroll Based Journal Staffing Data Report of Quarter 2 2025 (January 1 to March 31) which indicated Excessively Low Weekend Staffing and One Star Staffing Rating, it was determined that the facility did not ensure there was sufficient nursing staff on a 24-hour basis to provide nursing care to the residents. The findings include: The Facility assessment dated [DATE] documented there were 43 beds on each floor from 3rd to 6th floor. The Facility Assessment revealed the par level was 1 Registered Nurse for each floor on the Day shift from 7:00 AM-3:00 PM and 1 Registered Nurse for whole facility for Evening shift 3:00 PM-11:00 PM and Night shift 11:00 PM-7:00 AM. […]

• No harm, potential for more than minimal, patternF813Aug 4, 2025

  Based on observation, record review and interviews conducted during a Recertification survey, the facility did not ensure that they had a policy regarding the use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. Specifically, the facility policy did not ensure that facility staff were able to assist residents in accessing and consuming food brought from outside, and did not permit storage of food brought in by family or visitors. […]

• No harm, potential for more than minimal, patternF657Jul 14, 2023

  Based on observation, record review, and interviews conducted during the Recertification survey from 7/10/2023 to 7/14/2023, the facility did not ensure residents or their representatives were offered the opportunity to participate in the revision and/or review of the comprehensive care plan (CCP) and that the CCP was reviewed and revised upon each assessment. This was evident for 7 (Resident #s 43, 97, 145, 48, 59, 110, and 98) of 31 total sampled residents. Specifically, 1) Resident #43 was not invited to their CCP meetings, 2) CCPs related to vision, depression, and cancer were not reviewed upon assessment for Resident #97, 3) the CCP related to anxiety for Resident #145 was not reviewed upon each assessment, 4) the CCP related to dental status for Resident #45 was not reviewed upon… […]