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Deficiency Records for Lawrence Rehabilitation Hospital
View the most recent health deficiencies and inspection results for Lawrence Rehabilitation Hospital. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lawrence Rehabilitation Hospital. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2026-01-30 | 2026-04-09 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2026-01-30 | 2026-04-09 | N |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-01-30 | 2026-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-30 | 2026-03-13 | N |
| Post nurse staffing information every day. | Health | 2026-01-30 | 2026-03-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-30 | 2026-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-30 | 2026-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-30 | 2026-03-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-30 | 2026-03-02 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2026-01-30 | 2026-03-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-30 | 2026-03-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-30 | 2026-03-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-01-30 | 2026-03-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-30 | 2026-03-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-01-30 | 2026-03-02 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-01-30 | 2026-03-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-01-30 | 2026-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-30 | 2026-03-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-30 | 2026-03-02 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2026-01-30 | 2026-03-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-01-30 | 2026-03-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-30 | 2026-03-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2026-01-30 | 2026-03-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2026-01-30 | 2026-03-02 | N |
| Respond appropriately to all alleged violations. | Health | 2026-01-30 | 2026-03-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-09-06 | 2024-11-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-06 | 2024-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-06 | 2024-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-06 | 2024-10-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-09-06 | 2024-10-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-09-06 | 2024-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-06 | 2024-10-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-09-06 | 2024-09-30 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-06 | 2024-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-06 | 2024-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-06 | 2024-09-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-06 | 2024-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-06 | 2024-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-02 | 2023-07-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-02 | 2023-06-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-02 | 2023-06-30 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-02 | 2023-06-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-02 | 2023-06-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-02 | 2023-06-30 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-06-02 | 2023-06-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-02 | 2023-06-30 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-02 | 2023-06-30 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-06-02 | 2023-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-02 | 2023-06-30 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-02 | 2023-06-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-02 | 2023-06-15 | N |