Deficiency Records for Lawrence Rehabilitation Hospital

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Updated as of April 01, 2024

A list of the most recent deficiencies for Lawrence Rehabilitation Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
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
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-06-02 2023-06-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-06-02 2023-06-15 N
Have a properly installed medical gas master alarm panel. Fire Safety 2021-05-20 2021-06-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-20 2021-05-31 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2019-06-07 2019-07-03 N
Establish staff and initial training requirements. Fire Safety 2019-06-07 2019-07-03 N