Lawrence Co Nursing Center

Inspectors wroteBased on observation, interview, record review, and facility policy review the facility failed to ensure residents were treated with dignity, respect, privacy, and received necessary assistance with personal care in accordance with resident rights as evidenced by Resident #27 was unnecessarily exposed during catheter care and Resident #47 was denied requested assistance with drying beneath her breasts following a shower, resulting in prolonged moisture and a rash for two (2) of four (4) sampled residents for residents rights. (Resident #27 and Resident #47)Findings Include: Record review of the facility policy Residents Rights Policy with a revision date of 05/26 revealed, Every resident in this facility has the right to.11. Receive adequate care and appropriate healthcare, medical treatment and protective support services. 12. [...]

Inspectors wroteBased on interview, record review, and facility policy review the facility failed to ensure residents were permitted to receive unopened mail and packages and failed to protect residents' rights to privacy and confidentiality for three (3) of (3) residents interviewed regarding receipt of mail (Residents #3, #9, and #32). This deficient practice had the potential to affect all residents residing in the facility who received mail or packages.

Inspectors wroteBased on observation, interview, and record review, and facility policy review the facility failed to ensure physician orders contained complete and accurate medication dosage instructions for one (1) of five (5) residents reviewed for medication administration. (Resident #28). Findings Include:A record review of the facility policy Oral Medication Administration Procedure with a revision dated of 03/25 revealed, .2. Ensure that an appropriate physician's order is in place. Verify.b. right dosage. On 06/17/26 at 8:05 AM, Licensed Practical Nurse (LPN) #2 was observed administering medications to Resident #28. During the observation, the physician order for Vitamin D3 was reviewed and directed staff to give one tablet daily. The order did not contain a dosage strength. LPN #2 administered (1) Vitamin D3 125 mcg (microgram) tablet to Resident #28. [...]

Inspectors wroteBased on observation, interview, facility policy review and record review, the facility failed to ensure a resident received appropriate perineal care and in accordance with professional standards of practice for one (1) of three (3) residents reviewed for personal hygiene care (Resident #45). Findings Include:Record review of the facility policy Perineal Care with a revision date of 01/24 revealed .Preparing For Care.6. Perform hand hygiene and apply gloves . 5. Wash genital area, moving from front to back while using a clean portion of the washcloth or pre-moistened wash wipe for each stroke. 6. When soap is used, rinse genital area rinsing area moving front to back using a clean portion of the washcloth or premoistened wash wipe for each stroke. 7. Dry genital area moving from front to back with towel. 8. [...]

Inspectors wroteBased on interview, observation, and record review, the facility failed to accommodate food preferences for one (1) of (15) residents reviewed for food and nutrition services. (Resident #32). Findings Include:On 06/15/26 at 12:09 PM, during an interview, Resident #32 stated she had requested two (2) boiled eggs, (2) slices of bacon, and oatmeal for breakfast. Resident #32 stated she spoke with the Dietary Manager (DM), who agreed to provide the requested breakfast items. The resident stated she only received the requested breakfast one time after making the request. On 06/16/26 at 11:20 AM, during an interview, Resident #32 stated she was served (1) slice of bacon, scrambled eggs, (1) slice of toast, and oatmeal. Resident #32 stated (2) boiled eggs were handwritten on her tray card but were not included on her meal tray. [...]

Inspectors wroteBased on observations, interviews, record review and facility policy review the facility failed to prevent the possibility of spreading infection during perineal care for one (1) of four (4) care observations. Resident #45. Findings Include:Record review of the facility policy Hand Hygiene with a revision date of 01/24 revealed Purpose: To cleanse hands to prevent transmission of infection or other conditions. To provide clean health environment for residents, staff and visitors .Procedure. 2. Hand hygiene should be performed between all contacts with residents or when entering and exiting a resident's room. 3. Before and after procedures 3. Before and after applying gloves. Record review of the facility's Enhanced Barrier Precaution signage revealed EVERYONE MUST Clean their hands, including before entering and when leaving the room. [...]

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to provide wound care in accordance with professional standards of practice and physician's orders, specifically failing to cleanse wounds with proper technique and dry wounds prior to dressing application, and placing a resident (Resident #2) in two (2) briefs, which increased the risk for skin breakdown and infection, for (2) of three (3) sampled residents reviewed for wound care (Residents #2 and #3).

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to implement care plan interventions during wound care for two (2) of (2) wound care observations (Residents #2 and #3).

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to follow infection prevention and control practices by placing wound care supplies on an undisinfected bedside table during treatment, creating the potential for cross-contamination and infection, for one (1) of two (2) wound care observations (Resident #3).

Inspectors wroteBased on observation, interviews, record reviews, and facility policy reviews, the facility failed to review and revise the resident's pain to reflect actual pain instead of at risk for pain for one (1) of seventeen (17) residents reviewed for pain. Resident #44.

Inspectors wroteBased on observation, interviews, record reviews, and facility policy reviews, the facility failed to manage the resident's pain to the extent possible in accordance with professional standards and the resident's goals and preferences for one (1) of seventeen (17) residents reviewed for pain, Resident #44.

Inspectors wroteBased on interviews, facility statement review and Certification and Survey Provider Enhanced Reports (CASPER) data review, the provider failed to ensure their Payroll Based Journal (PBJ)-which includes information on the staffing hours necessary for the appropriate care of the residents-was corrected prior to submission to the Centers for Medicare & Medicaid Services (CMS) for one (1) of four (4) quarters in 2024. (October 1-December 31.)

Inspectors wroteBased on staff interviews, record reviews, facility policy review and Plan of Correction (POC) review, the facility failed to sustain an effective Quality Assurance and Performance Improvement (QAPI) program, as evidenced by repeat deficiencies originally cited during the recertification survey conducted in February 2024, for two (2) of eight (8) deficiencies cited on the current recertification survey.

Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to follow proper infection control guidelines for two (2) of three (3) care observations. Resident# 5 and Resident #44.

Inspectors wroteBased on interviews, record reviews, and facility policy review, the facility failed to ensure proper handling of personal belongings for one (1) of seven (7) residents reviewed for personal property, Resident #49.

Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to follow the comprehensive care plan for related to Enhanced Barrier Precautions one (1) of seventeen (17) sampled residents, Resident #5.

Inspectors wroteBased on observation, interviews, record reviews, and facility policy review, the facility failed to ensure a medication error rate of less than five percent (5%) for three (3) of four (4) medication administrations observed that affected Resident #1, Resident #39, and Resident #50. The medication error rate was 12.9%.

Inspectors wroteBased on observation, interviews and facility policy review the facility failed to remove expired foods from the dry food storage area for one (1) of four (4) kitchen observations. This has a potential to affect all residents receiving meals prepared by the facility's dietary department.

Inspectors wroteBased on interviews, record review and Certification and Survey Provider Enhanced Reports (Casper) reporting data review, the facility failed to ensure payroll-based journal (PBJ) direct care staffing information was submitted accurately to the Centers for Medicare and Medicaid Services (CMS) for nine (9) of nine (9) months reviewed.

Inspectors wroteBased on interviews, record review and facility policy review, the facility failed to provide the Resident and/or the Resident's Representative with written notification for the reason the resident was transferred to a local hospital for one (1) of one (1) record reviewed for hospitalization.

Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to ensure infection control measures were consistently implemented to prevent the development and/or transmission of infection, while providing care for one (1) of 15 sampled residents (Resident #1) and two (2) unsampled residents (Unsampled Residents #20 and #46)