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🔎 Lawrence Rehabilitation Hospital

Inspection Results


Inspection Overview

Lawrence Rehabilitation Hospital has been cited for a total of 20 deficiencies since we began saving each survey.

In New Jersey, the average facility has **22.80 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2024-09-06
Correction Date: 2024-09-30
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2024-09-06
Correction Date: 2024-09-30
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: E

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey Date: 2024-09-06
Correction Date: 2024-09-30
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: F

Provide and implement an infection prevention and control program.

Survey Date: 2024-09-06
Correction Date: 2024-10-07
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Implement a program that monitors antibiotic use.

Survey Date: 2024-09-06
Correction Date: 2024-09-30
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: E

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

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.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: B

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Resident Rights Deficiencies
From Complaint: Y

Scope/Severity: D

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Quality of Life and Care Deficiencies
From Complaint: Y

Scope/Severity: E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: 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.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Pharmacy Service Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: E

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Nutrition and Dietary Deficiencies
From Complaint: Y

Scope/Severity: E

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.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Administration Deficiencies
From Complaint: Y

Scope/Severity: D

Provide and implement an infection prevention and control program.

Survey Date: 2023-06-02
Correction Date: 2023-06-30
Category: Infection Control Deficiencies
From Complaint: Y

Scope/Severity: D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey Date: 2021-05-20
Correction Date: 2021-05-31
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: F

Provide and implement an infection prevention and control program.

Survey Date: 2020-06-27
Correction Date: 2020-08-28
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: F

Report COVID19 data to residents and families.

Survey Date: 2020-06-27
Correction Date: 2020-07-16
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: B

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey Date: 2019-06-07
Correction Date: 2019-07-03
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2018-08-09
Correction Date: 2018-08-23
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**