A list of the most recent deficiencies for Lawrence Street Health Care Center. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-21 | 2023-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-21 | 2023-08-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-21 | 2023-08-10 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-07-21 | 2023-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-13 | 2023-08-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-13 | 2023-08-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-13 | 2023-08-04 | N |
| 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 | 2023-07-13 | 2023-08-04 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-06-03 | 2022-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-03 | 2022-06-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-02 | 2022-06-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-04 | 2022-01-13 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-08 | 2021-04-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-08 | 2021-04-18 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-02-11 | 2021-03-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-02-11 | 2021-03-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-02-11 | 2021-03-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-02-09 | 2021-02-21 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-02-09 | 2021-02-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-09 | 2021-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-09 | 2021-02-21 | N |
