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Lawrence Rehab & HCC/the Meadows at Lawrence

1 Bishops Drive, Lawrenceville, NJ 08648 · Mercer County · (609) 896-0006

180 certified beds, about 159 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 315338 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 4, 2025, inspectors cited 8 health deficiencies (the New Jersey average is 8.6, the national average 9.2).

Of 34 health citations since December 2021, 3 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 3 fines totaling $61,795 in the last three years; the largest was $23,520, and the latest is dated July 23, 2026.

Nurses and nurse aides worked 3.66 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

37.7% of nursing staff left within the year CMS measured (New Jersey average 39.7%).

CMS links it to Marquis Health Services, an affiliated group of 90 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
25D
4E
2F
Potential for minimal harm
0A
0B
0C
July 23, 2026Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 5, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on observation, interviews, review of medical records, and review of other pertinent facility documents on 07/23/2026, it was determined that the facility failed to maintain a safe environment for a resident (Resident #2), with severe cognitive impairment. The facility staff failed to follow their Resident Leaves of Absence policy requiring authorization by Resident #2's Power of Attorney (POA), before the resident left the facility with a caregiver. This deficient practice was identified for 1 of 3 residents (Resident #2) reviewed for incidents and was evidenced by the following: On 7/19/2026 at approximately 9:30 AM, an outside Home Health Aide (HHA #1) informed facility staff that they were at the facility to take Resident #2 out on a Leave of Absence (LOA) pass. [...]
July 15, 2026Complaint inspection · 1 citation
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteComplaint #: 2988988, 3074567Based on observation, interviews, review of medical records and review of pertinent facility documents on 07/14/2026 and 07/15/2026, it was determined that the facility failed to ensure that a cognitively impaired resident (Resident #2) who was dependent on staff for care, was protected from physical and verbal abuse by a Certified Nursing Assistant (CNA #1). Resident #2 was physically and verbally abused by CNA #1 on 04/13/2026. This deficient practice was identified for 1 of 7 residents (Resident #2) reviewed for abuse and was evidenced by the following: A review of the facility's policy on Abuse, Neglect, and Exploitation and Misappropriation Prevention Program, revised date of April 2021, included under Policy Statement: Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. [...]
December 1, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteComplaint #: 2674711 Based on observation, interviews, review of medical records, and review of other pertinent facility documents on 11/25/2025, it was determined that the facility failed to provide adequate supervision to a cognitively impaired resident who wore a wander guard and had a known history of wandering (Resident #2), who eloped from the facility on 11/17/2025. The deficient practice was identified for 1 of 3 residents reviewed for elopement (Resident #2). During the survey a finding that constituted Immediate Jeopardy (IJ) was identified under CFR 483.12(a)(1) F689. The facility failed to: [...]
September 4, 2025Standard inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 12, 2025
    Inspectors wroteBased on observation, interview, and the 2017 Food Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA), the facility failed to prevent the potential for cross-contamination by allowing the drain from the ice machine to extend down into the floor drain. This had the potential to affect 156 of 165 residents receiving meals from the kitchen.
  2. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on record review, interview, and policy review, the facility failed to provide a written notice of transfer and information regarding the bed hold process to the responsible party, and a transfer notice to the receiving hospital for seven residents (Resident (R) 3, R4, R6, R7, R12, R20, and R84) out of the eight residents sampled for hospitalization. This failure had the possibility to negatively impact all residents residing at the facility due to important medical information not being provided to receiving hospital and the resident's responsible party not being aware of the reason for the Resident's transfer or bed hold information.
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2025
    Inspectors wroteBased on record review, interview, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure the Minimum Data Set (MDS) accurately reflected the presence of a pressure ulcer for one of three residents reviewed for pressure ulcers (Resident (R) 169) out of 37 sampled residents. This failure placed the resident at risk for unmet care needs.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on record review, interview, and review of facility's policy, the facility failed to ensure care plans were developed to include hospice services for one resident reviewed for hospice services (Resident (R) 13) out of 37 sampled residents. This failure had the potential for R13 not to receive adequate hospice nursing services.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2025
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure that quality of care/treatment was provided to one resident (Resident (R) 75) of eight residents reviewed for weights. Specifically, the facility failed to follow physician orders related to daily weights for fluid retention monitoring/congestive heart failure. This failure increased the risk of worsening heart failure which could lead to fluid retention, increased swelling/edema, and shortness of breath.
  6. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2025
    Inspectors wroteBased on observation, record review, interview, and review of facility policy, the facility failed to ensure medications were properly stored for one of 37 sampled residents (Resident (R) 162) when Flonase (an over the counter nasal spray medication used to treat allergies) was observed at the resident's bedside. Additionally, the facility failed to ensure one of two treatment carts was locked. These failures had the potential to result in residents being subject to unsafe or ineffective treatment or adverse effects leading to more serious illnesses and could permit unauthorized access to residents' medications and treatment supplies.
  7. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 9, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure one of five residents (Resident (R) 11) reviewed for immunizations was offered the influenza immunization. Specifically, the facility failed to offer R11 the influenza immunization in 2024. This failure increased the risk of R11 contracting the influenza virus.
  8. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 12, 2025
    Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure three of five residents (Resident (R) 11, R33, and R141) were offered the COVID-19 vaccine boosters. This failure increased the risk of contracting COVID-19.
April 3, 2025Complaint inspection · 1 citation
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 14, 2025
    Inspectors wroteComplaint #: NJ185063 Based on interviews, closed medical record review, and review of pertinent facility documentation on 4/3/25, it was determined that the facility failed to follow standards of clinical practice by not obtaining a physician's order for oxygen for a resident (Resident #2) that utilized continuous oxygen therapy. The facility also failed to follow its policy titled Oxygen Administration. This deficient practice was identified in 1 of 3 residents (Resident #2) reviewed for oxygen therapy and was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a licensed practical nurse is defined as performing tasks and responsibilities within the framework of case finding; [...]
August 5, 2024Complaint inspection · 1 citation
  1. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteComplaint # NJ175300 Based on interviews, medical record review, and review of other pertinent facility documents on 08/05/2024, it was determined that the facility staff failed to consistently document in the Documentation Survey Report (DSR) the Activities of Daily Living (ADL) status, follow the Certified Nursing Assistant (CNA) job description and follow its policy titled Charting and Documentation for 3 of 3 residents (Resident #2, Resident #12, and Resident #15) reviewed for documentation. This deficient practice was evidenced by the following: 1. [...]
April 9, 2024Standard inspection · 9 citations
  1. F
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on interview and review of pertinent facility documents, it was determined that the facility failed to complete performance review of Certified Nurse Aides (CNA) at least every twelve months and provide regular in-service education based on the outcome of these reviews. The deficient practice was identified for 5 of 5 CNAs (CNA #1; #2; #3; #4; and #5) reviewed for performance evaluations and was evidenced by the following: On 4/3/24 at 10:01 AM, the Licensed Nursing Home Administrator (LNHA) provided the surveyor with five randomly selected CNA employees' education for 2023. The LNHA stated that she could not locate the CNAs' employee performance reviews for 2023. The LNHA stated that the facility took ownership of the building in February of 2023 and were starting to complete performance reviews now. A review of the education revealed: CNA#1: date of hire 8/16/21; [...]
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain the call bell within reach of the resident. This deficient practice was identified for 1 of 32 residents reviewed for accommodation of needs (Resident #89), and was evidenced by the following: On 3/27/24 at 12:09 PM, the surveyor observed Resident #89 in their room, seated in a wheelchair with their eyes closed. The surveyor observed the resident's call bell (a bell used to summon staff for assistance) was on the floor, not within his/her reach. On 3/27/24 at 12:17 PM, the surveyor observed Resident #89 in his/her room seated in a wheelchair with their call bell located on the floor, not within his/her reach. On 4/4/24 at 1:18 PM, the surveyor observed Resident #89 in his/her room seated in a wheelchair eating their lunch meal. [...]
  3. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteComplaint # NJ169996; NJ172438 Based on interviews and review of pertinent facility documentation, it was determined that the facility failed to report an alleged theft (wedding ring) to the New Jersey Department of Health (NJDOH). This deficient practice was identified for 1 of 4 residents reviewed for abuse (Resident # 35), and was evidenced by the followning: According to Resident #35's admission Record face sheet (an admission summary), the resident was admitted to the facility with diagnoses which included unspecified dementia and atherosclerotic heart disease (the buildup of fats, cholesterol and other substances in and on the artery walls). According to the most recent quarterly Minimum Data Set (MDS), an assessment tool, Resident #35 had a brief interview for mental status (BIMS) score of 5 out of 15, which indicated a severely impaired cognition. [...]
  4. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2024
    Inspectors wroteComplaint #NJ 169996; NJ172438 Based on interviews and review of pertinent facility documentation, it was determined that the facility failed to complete a thorough investigation for an alleged theft (wedding ring) for 1 of 4 residents reviewed for abuse (Resident #35). This deficient practice was evidenced by the following: According to Resident #35's admission Record face sheet (an admission summary), the resident was admitted to the facility with diagnoses which included unspecified dementia and atherosclerotic heart disease. According to the most recent quarterly Minimum Data Set (MDS), an assessment tool, Resident #35 had a brief interview for mental status (BIMS) score of 5 out of 15, which indicated a severely impaired cognition. The MDS documentation also identified that Resident #35 is dependent on staff for Activities of Daily Living (ADL). [...]
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure an electronic pharmacy drug interaction alert was communicated to a physician in accordance with professional standards of practice. This deficient practice was identified for 1 of 30 residents reviewed for professional standards of practice (Resident #450). Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
  6. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteComplaint#: NJ167771; NJ168132 Based on observation, interview, and review of pertinent facility documentation, it was determined that the facility failed to provide sufficient nursing staff to ensure activities of daily living (ADLs) including incontinence care and assistance with meals were performed for a resident. This deficient practice was identified on 1 of 30 residents reviewed for sufficient staffing (Resident #57), and was evidenced by the following: On 4/1/24 at 11:58 AM, the surveyor observed Resident #57 awake in bed with their untouched breakfast tray on their overbed table. At this time, the surveyor requested from the Unit Clerk a copy of the Certified Nursing Aide (CNA) assignment sheet for that day. A review of the assignment sheet revealed the Registered Nurse (RN) was scheduled and assigned as Resident #57's CNA for the 7:00 AM to 3:00 PM (7-3) shift. On 4/1/24 at 12: [...]
  7. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure a resident's food preference of no gravy on meals was honored. This deficient practice was identified for 1 of 5 residents reviewed for nutrition (Resident #27), and was evidenced by the following: On 3/27/24 at 12:41 PM, the surveyor interviewed Resident #27 who stated they disliked gravy on his/her food because it upset their stomach. The resident stated they informed the Registered Dietitian (RD) their concern, but they still received gravy on his/her dinner meal every night. The surveyor then reviewed the medical record of Resident #27. A review of the admission Record face sheet (an admission summary) reflected the resident was admitted to the facility with diagnoses that included unspecified escherichia coli (E. coli; [...]
  8. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure that a resident received occupational therapy services in accordance with their therapy plan. This deficient practice was identified for 1 of 2 residents reviewed for rehabilitation (Resident # 131), and was evidenced by the following: On 3/27/24 at 12:29 PM, the surveyor observed the resident in bed with a pressure relieving device in place. The resident stated that he/she had not received rehabilitation (rehab) therapy since last Thursday (3/21/24) when his/her Certified Occupational Therapist Aide (COTA) went out sick. Resident #131 further stated that their COTA came back today, and informed the resident that she thought they had been discharged from therapy since they received no therapy while she was out of the facility. [...]
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 12, 2024
    Inspectors wroteBased on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain infection control standards and procedures during wound care treatment. This deficient practice was identified for 1 of 1 wound observations observed for 1 of 3 residents reviewed for pressure ulcer and injury (Resident #16), and was evidenced by the following: On 3/28/24 at 9:39 AM, the surveyor observed Resident #16 in bed with their eyes closed. The surveyor reviewed the medical record for Resident #16. A review of the admission Record face sheet (an admission summary) revealed the resident was admitted to the facility with diagnoses that included dementia, diabetes mellitus, and hypertension. [...]
December 21, 2021Standard inspection · 12 citations
  1. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 7, 2022
    Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to: a.) consistently document the size and appearance of a pressure ulcer (PU) weekly to determine the effectiveness of a wound treatment, b.) perform appropriate handwashing during a PU treatment, c.) maintain infection control practices to reduce the risk of infection during a PU treatment, and d.) perform a PU treatment in accordance with a physician's order for 1 of 2 residents reviewed for PU (Resident #101). This deficient practice was evidenced by the following: 1. On 12/07/21 at 9:49 AM, the surveyor observed Resident #101 seated in a wheelchair at the entrance of his/her room. Resident #101 stated that he/she had a pressure ulcer on his/her backside and that he/she was not sure if it developed at the facility. [...]
  2. E
    Perform COVID19 testing on residents and staff.
    F886 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 13, 2022
    Inspectors wroteBased on interview, and review of facility documentation, it was determined that the facility failed to a.) test unvaccinated (not fully vaccinated with the COVID-19 vaccination) staff for COVID-19 at a frequency based on the county COVID-19 level of community transmission in accordance with the U. S. Centers for Disease Control and Prevention (CDC) recommendations and b.) have procedures to mitigate possible transmission of COVID-19 to residents for unvaccinated staff who refused COVID-19 testing. This deficient practice was evidenced by the following: Reference: CDC's guideline titled Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes with an updated date of Sept. 10, 2021, included the following: Create a Plan for Testing Residents and HCP for SARS-CoV-2 . Expanded screening testing of asymptomatic HCP should be as follows: [...]
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2022
    Inspectors wroteBased on observation, interview, and document review, it was determined that the facility failed to maintain resident call bells that were accessible and within reach of all residents. This deficient practice occurred for 2 of 30 residents reviewed (Resident #120 & Resident #58) and was evidenced by the following: On 12/09/21 at 12:05 PM, two surveyors interviewed Resident #120 in the resident's room. Resident #120 was in the wheelchair and stated he/she was unable to reach the call bell. At that time, the resident showed the surveyors the white call bell cord that was on the floor and the cord was wrapped abound the bed rail and covered by the bedding to the side of the bed and not accessible to the resident. The resident proceeded to try to pull the call bell cord to reach the button and was unsuccessful. [...]
  4. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2022
    Inspectors wroteBased on interview, record review and review of other facility documentation, it was determined that the facility failed to follow resident rights for the distribution of funds from a resident's personal needs allowance (PNA). This deficient practice was identified for 1 of 1 resident (Resident #61) reviewed for personal funds and was evidenced by the following: On 12/10/21 at 11:22 AM, during resident council meeting, Resident #61 stated that last October he/she wanted to give a wedding gift of $200.00 to his/her grandson. The resident revealed that the resident account manager told him/her that he/she could not have the money to give as a gift, and that the money from the PNA needed to be spent only on his/her personal needs. [...]
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 7, 2022 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on observation, interview and record review it was determined that the facility failed to complete a thorough investigation for an allegation of abuse. This deficient practice occurred for 1 of 2 residents investigated for abuse (Resident #121) and was evidenced by the following: On 12/07/21 at 1:04 PM the surveyor conducted an interview with a volunteer resident advocate (RA) from a New Jersey agency. The RA informed the surveyor that Resident #121 was fearful regarding a staff member reporting the resident because of an interaction the resident had with the staff member a few weeks ago. The RA stated that she had alerted the Director of Nursing (DON) at that time of regarding the resident concerns. The surveyor reviewed the medical record for Resident #121 which revealed the following: [...]
  6. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2022
    Inspectors wroteBased on observation, interview, record review and review of other pertinent facility documents, it was determined that the facility failed to provide the resident and or the resident's representation written notification of the reason for transfer to the hospital and also send a copy to a representative of the Office of the State Long-Term Care Ombudsman for 1 of 1 resident's reviewed for hospitalization (Residents #140). This deficient practice was evidenced by the following: On 12/7/21 at 11:10 AM, the surveyor reviewed Resident #140's medical record which revealed a Universal Transfer Form (UTF), a communication tool, dated 11/3/21. The UTF indicated that the resident was transferred to the hospital for vomiting and decreased oxygenation of the blood. [...]
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 12, 2022
    Inspectors wroteBased on observation, interview, record review and review of pertinent facility documentation, it was determined that the facility failed to: 1) appropriately store a nasal cannula while not in use, 2) clarify a physicians order for oxygen, 3) ensure a resident was consistently utilizing oxygen per physician order, and 4) update the Care Plan (CP) and Treatment Administration Record (TAR) for a resident prescribed oxygen therapy (Resident #70). This deficient practice occurred for 1 of 1 resident for respiratory therapy and was evidenced by the following: On 12/07/21 at 11:00 AM, the surveyor observed Resident #70 sitting in a wheelchair (w/c) next to his/her bed. [...]
  8. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2022
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility failed to ensure that 1 of 3 residents observed during medication administration was free of significant medication errors, (Resident #7). The deficient practice was evidenced by the following: Resident #7 was admitted to the facility with diagnoses which included, essential primary hypertension, ventricular tachycardia, atrioventricular block second degree, and the presence of a cardiac pacemaker. On 12/02/2021 at 7:39 AM, the surveyor observed the Licensed Practical Nurse (LPN) in the [NAME] Hall and informed her that she would be observed for medication administration. The LPN wheeled the medication cart in front of Resident #7's room and informed the resident that she will be coming to administer the morning medications. The resident agreed. [...]
  9. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2022
    Inspectors wroteBased on observation, staff interviews, record review and document review, it was determined that the facility failed to ensure: a) that biological drugs were removed from the medication cart when expired for 1 of 4 medication carts observed during a medication pass observation , and b) a medication cart was locked when not in use for 1 of 8 resident care units observed (1st floor - Main building). The deficient practice was evidenced by the following: 1. The surveyor observed the following during a medication pass observation on 12/08/21: Resident # 23 was admitted to the facility with diagnoses of Diabetes Mellitus. [...]
  10. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 29, 2021
    Inspectors wroteBased on observation, interview and document review it was determine that the facility failed to maintain food service equipment in a clean and sanitary manner to limit the development of microbial growth. The deficient practice was evidenced by the following: On 12/08/21 at 11:08 AM, two surveyors observed the following during the tray line production was in progress. A rack of insulated tray lid covers that were being utilized for the lunch meal and were double stacked in the slots of the cart and adjacent to the tray line which was in progress. At that time, Surveyor #1 asked the Executive Chef (EC) to remove the double stacked lids which were nested together and the interior of the lids was visible wet. The EC stated the lids should not have been wet. At 11:15 AM the surveyors observed an additional rack of insulated lids located by the dish machine. [...]
  11. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2022
    Inspectors wroteBased on observation, interview and a review of facility documentation, it was determined that the facility failed to follow infection control standards and procedures to limit the risk of transmission of infection by failing to follow appropriate contact tracing protocols when an employee alerted the facility of symptoms of a potential COVID-19 infection in accordance with the Centers for Disease Control (CDC) Guidance, New Jersey Department of Health (NJDOH) guidance and per facility policy, to prevent the spread of COVID-19. The deficient practice was identified for 1 of 1 staff reviewed for contact tracing and was evidenced by the following: Reference: CDC Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic updated September 10, 2021. [...]
  12. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 13, 2022
    Inspectors wroteBased on interview, medical record review, and review of other pertinent facility documents, it was determined that the facility failed to offer a resident a pneumococcal vaccine. This deficient practice was identified for Resident # 71, 1 of 5 residents reviewed for immunization status. The deficient practice was evidenced by the following: The surveyor reviewed Resident #71'a medical record which revealed the following information: Review of the admission Record revealed that Resident # 71 had been admitted to the facility with diagnoses which included but were not limited to heart failure, adult failure to thrive, hypertension (high blood pressure), and dementia. [...]

Fire safety inspections

11 fire safety citations on file: 4 on September 4, 2025, 5 on April 9, 2024, 2 on December 21, 2021.

Every fire safety citation11 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · September 4, 2025 · Corrected (the home has a date of correction)
  2. F
    Install an approved automatic sprinkler system.
    K 351 · September 4, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 4, 2025 · Corrected (the home has a date of correction)
  4. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 4, 2025 · Corrected (the home has a date of correction)
  5. F
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · April 9, 2024 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 9, 2024 · Corrected (the home has a date of correction)
  7. E
    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.
    K 222 · April 9, 2024 · Corrected (the home has a date of correction)
  8. E
    Have properly located and lighted "Exit" signs.
    K 293 · April 9, 2024 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · April 9, 2024 · Corrected (the home has a date of correction)
  10. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 21, 2021 · Corrected (the home has a date of correction)
  11. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 21, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 23, 2026Fine $20,930
July 15, 2026Fine $23,520
September 4, 2025Fine $17,345

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew JerseyUnited States
All nursing staff (RN, LPN and aides)3.663.853.86
Registered nurses0.570.680.69
All nursing staff on weekends3.353.503.42
Nurse aides2.29
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)37.7%39.7%45.8%
Registered nurse turnover50.0%37.7%42.9%
Administrators who left1

CMS expects 3.76 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.78 on weekdays and 3.35 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.89 in April to June 2025 to 3.66 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.660.573.783.35 0.2%0 of 90159
Oct to Dec 20253.680.593.783.42 0.3%0 of 92156
Jul to Sep 20253.830.693.963.50 0.3%0 of 92160
Apr to Jun 20253.890.734.063.45 0.3%0 of 91163
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New Jersey, Jan to Mar 20263.680.593.823.3411.6%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for New Jersey

JobMedianMiddle halfEmployed
New Jersey, all employers
CNAs (nursing assistants)$22.52$21.13 to $23.4432,400
LPNs and LVNs$36.13$32.16 to $38.4517,410
Registered nurses$51.20$47.94 to $61.4192,680
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Lawrence Rehab & HCC/the Meadows at Lawrence. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew JerseyUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.18.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.20.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.52.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.58.214.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.55.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.612.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.424.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.18.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Lawrence Rehab & HCC/the Meadows at Lawrence's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

43.9% this home

No different from the national rate

US median of homes 51.5% · New Jersey: 130 better, 19 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 262 eligible stays.

Potentially preventable readmissions

12.2% this home

No different from the national rate

US median of homes 10.7% · New Jersey: 2 better, 8 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 303 eligible stays.

Infections that led to a hospital stay

7.9% this home

No different from the national rate

US median of homes 7.1% · New Jersey: 3 better, 13 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 194 eligible stays.

Self-care and mobility at discharge

80.4% this home

Median of homes: New Jersey68.7% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 102 residents counted.

Falls with major injury

1.0% this home

Median of homes: New Jersey0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 291 residents counted.

New or worsened pressure ulcers

0.6% this home

Median of homes: New Jersey1.7% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 291 residents counted.

Medication list given at discharge

89.8% this home

Median of homes: New Jersey99.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 127 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: LAWRENCE OPERATOR LLC. CMS links this home to Marquis Health Services, a group of 90 nursing homes averaging 3.1 stars overall.

NameRoleTypeShareSince
Synovous Bank, National Association5% or greater security interestOrganization02/01/2023
Onyenemezu, JenelleManaging control - governing bodyIndividual04/24/2024
Shah, UmangManaging control - governing bodyIndividual03/13/2024
Shah, UmangCorporate directorIndividual03/13/2024
Posen, MindeeCorporate officerIndividual02/01/2023
Marquis Limited LLCOperational/managerial controlOrganization02/01/2023
Nutraco LLCOperational/managerial controlOrganization02/01/2023
Khan, SunniyaOperational/managerial controlIndividual02/01/2023
Shah, UmangOperational/managerial controlIndividual03/13/2024
Lawrence Real Property LLCAdp of the SNFOrganization02/01/2023
Marquis Limited LLCAdp of the SNFOrganization05/14/2025
Nfr 2020 Irrv TrAdp of the SNFOrganization02/01/2023
Nutraco LLCAdp of the SNFOrganization05/14/2025
Quinto Nexgen LLCAdp of the SNFOrganization02/01/2023
Rsbrmk Holdings LLCAdp of the SNFOrganization02/01/2023
Sk Nexgen TrAdp of the SNFOrganization02/01/2023
Tryko Nexgen Holdings LLCAdp of the SNFOrganization02/01/2023
Uak 2020 Irrv TrAdp of the SNFOrganization02/01/2023
Ukr Nexgen LLCAdp of the SNFOrganization02/01/2023
Yk Nexgen TrAdp of the SNFOrganization02/01/2023
Yr Nexgen TrAdp of the SNFOrganization02/01/2023
Khan, SunniyaAdp of the SNFIndividual02/01/2023
Onyenemezu, JenelleAdp of the SNFIndividual04/24/2024
Posen, MindeeAdp of the SNFIndividual02/01/2023
Shah, UmangAdp of the SNFIndividual03/13/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on July 23, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on September 4, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on September 4, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on September 4, 2025: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.35 hours per resident per day, below the New Jersey average of 3.50.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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New Jersey contacts for a concern about a nursing home

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Common questions

What is Lawrence Rehab & HCC/the Meadows at Lawrence's Medicare star rating?
CMS rates Lawrence Rehab & HCC/the Meadows at Lawrence 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lawrence Rehab & HCC/the Meadows at Lawrence get at its last inspection?
8 health deficiencies at the standard inspection on September 4, 2025. The New Jersey average is 8.6.
Has Lawrence Rehab & HCC/the Meadows at Lawrence been fined?
Yes. CMS lists 3 fines totaling $61,795 in the last three years.
Does Lawrence Rehab & HCC/the Meadows at Lawrence accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Lawrence Rehab & HCC/the Meadows at Lawrence?
CMS lists 25 owners and managers, and links the home to Marquis Health Services. Legal business name: LAWRENCE OPERATOR LLC.

Sources

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