Life Care Ctr of Lawrenceville

Inspectors wroteBased on observations, staff interviews, and review of the facility's policy titled, Food Safety and Sanitation, the facility failed to ensure food safety protocols and maintain sanitary conditions for the ice machine, the disposal of expired and opened food in the walk-in refrigerator freezer, and failed to properly label or date food in the dry storage and walk in freezer. The deficient practices had the potential to place 84 residents who received an oral diet from the kitchen at risk of contracting a foodborne illness. Findings Include:Review of the facility's policy titled Food Safety and Sanitation reviewed dated 05/01/2025, documented in Procedure . 2. Pre-packaged food is placed in a leak-proof, pest proof, non-absorbent, sanitary (NSF-National Sanitation Foundation certification) container with a tight-fitting lid. [...]

Inspectors wroteBased on staff interviews, record review and review of the facility's policy titled, Certification of Accuracy of the (Minimum Data Set) MDS, the facility failed to ensure the MDS accurately reflected the status of one of one sampled resident (R) (R28) reviewed for hospice.

Inspectors wroteBased on observations, record review, staff interviews and review of the facility policy titled, Oxygen Administration (Infection Control, Safety, and Storage), the facility failed to provide respiratory care consistent with professional standards of practice by ensuring humidification was provided and the oxygen concentrator and filter were clean for one of 20 residents (R) (R81) receiving oxygen (O2) or respiratory therapy. The deficient practice increased the risk of infection for R81.

Inspectors wroteBased on record review, resident and staff interviews, and review of the facility policies titled, Cardiopulmonary Resuscitation (CPR) Policy and Advance Directives and Advance Care Planning, the facility failed to communicate and ensure preference for the change in code status from full code to do not resuscitate (DNR) was updated in the medical record for one of three sampled residents (R) (R1). The deficient practice had the potential to deny the residents and/or representatives the opportunity to direct health care in the event that they were to become unable to make decisions or communicate health care preferences.

Inspectors wroteBased on observations, staff interviews, record review and review the facility document titled, [Name of Company] TELS (The Equipment Lifecycle System): Instructions, the facility failed to keep the residents free of accident hazards as evidenced by water temperatures above 110 degrees Fahrenheit (F) in four out of 68 resident rooms (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], and room [ROOM NUMBER]). The deficient practices had the potential to cause injury to residents residing in these rooms.

Inspectors wroteBased on observations, interviews, review of the facility's policies titled Oxygen Administration (Safety, Storage, Maintenance), Cleaning and Disinfection of Non-Critical Patient Care Equipment, and Hand Hygiene, the facility failed to maintain sanitary conditions for storing respiratory supplies for one of 19 residents that received respiratory treatments. In addition, the facility failed to sanitize shared medical equipment between residents' use during two of four medication pass observations and follow proper hand hygiene practices when providing residents' care during one of four medication pass observation. The deficient practices increased the risk to spread infection, equipment contamination, and other health complications. The sample size was 24 residents.

Inspectors wroteBased on staff interviews, record review, and review of the facility's policy titled, Pre-admission Screening and Resident Review (PASARR), the facility failed to ensure that one of one resident (R) (R13) reviewed for PASARR was evaluated by the state designated authority for a PASARR Level II. This deficient practice had the potential to affect the appropriate level of care and services provided for R13.

Inspectors wroteBased on observations, staff and resident interviews, record review, and review of the facility's policy titled, Comprehensive Care Plans and Revisions, the facility failed to develop a person-centered, comprehensive care plan related to providing oxygen therapy as ordered for one of 19 Residents (R) (R41) reviewed for oxygen administration. The deficient practice had the potential to place the resident at risk for medical complications, unmet needs and a diminished quality of life.

Inspectors wroteBased on observations, staff and resident interviews, record review, and review of the facility's policy titled, Oxygen Administration (Safety, Storage, Maintenance),the facility failed to ensure that one out of 19 residents (R) R41 receiving oxygen therapy was administered the therapy in accordance with the physician orders. This deficient practice had the potential to put R41 at risk for medical complications, respiratory depression, and potentially life-threatening complications.

Inspectors wroteBased on record review, staff interviews, review of the Centers for Disease Control and Prevention (CDC) Interim Infection Prevention and Control Recommendations for Healthcare Personnel (HCP) During the Coronavirus Disease 2019 (COVID-19) Pandemic, and review of the job description for the Executive Director (ED), facility Administration failed to ensure the health and safety of the residents by not maintaining an effective Infection Prevention Control Program (IPCP) that would identify and investigate an infection outbreak to prevent or reduce the spread of Covid-19 by not following current guidelines for resident and staff testing (contact tracing or broad based testing). This failure resulted in a total of 28 residents and eight staff members tested positive for COVID-19, three COVID related hospitalizations, and one COVID related death. The census was 99. [...]

Inspectors wroteBased on record review, staff interviews, review of the Centers for Disease Control and Prevention (CDC) Interim Infection Prevention and Control Recommendations for Healthcare Personnel (HCP) During the Coronavirus Disease 2019 (COVID-19) Pandemic, and review of the facility policies, the facility failed to implement initial and ongoing testing of residents and staff as recommended by Center for Disease Control and Prevention (CDC) and the Georgia Department of Public Health (GDPH) to lessen the exposure of Covid-19 during an outbreak and failed to obtain Physician's Orders for Covid-19 testing for 21 of 28 residents (R#'s 59, 2, 114, 80, 322, 113, 46, 112, 74, 13, 27, 324, 222, 51, 469, 323, 119, 10, 58, 120, and 21) reviewed that were positive for Covid-19. In addition, the facility failed to maintain documentation of negative test results of residents and staff. [...]

Inspectors wroteBased on record review, staff interviews, and review of the Registered Nurse (RN) Infection Preventionist (IP) job description, the facility failed to ensure that the person in the role of (IP) adequately assessed, developed, implemented, monitored, and managed the Infection Control and Prevention (IPCP) program, to prevent and control the spread of infections. Specifically, a Covid-19 outbreak began on August 2, 2023, and the facility's failure to implement the Centers for Disease Control (CDC) and the Georgia Department of Public Health's (GDPH) recommended practices for contact tracing or broad-based testing, resulted in 28 residents and eight staff members testing positive, three Covid-19 related hospitalizations, and one Covid related death during this outbreak of Covid-19. The census was 99. [...]

Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure an accurate comprehensive assessment for dental status for one of 62 sampled residents (R) (R#26).

Inspectors wroteBased on observations, record review, and staff interviews, and review of the policy titled Wound Care Management Program, the facility failed to ensure care was provided in accordance with professional standards of practice related to maintaining skin integrity under geri-sleeves and clean geri-sleeves and boot heel protector for one resident (R) (R#23). The sample size was 63 Residents.

Inspectors wroteBased on observations, record review, interviews, and review of the facility policy titled Oxygen Administration/Safety/Storage/Maintenance, the facility failed to follow Physician Orders for one resident (R) (R#35) to change Oxygen tubing, nebulizer circuit, and to clean concentrator filter weekly for one of eight residents (R) (R#35) receiving respiratory care.