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Deficiency Records for Lawrenceville Health and Rehabilitation
A list of the most recent deficiencies for Lawrenceville Health and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Lawrenceville Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-28 | 2022-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-28 | 2022-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-28 | 2022-08-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-28 | 2022-08-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-28 | 2022-05-23 | N |
| 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. | Health | 2022-03-17 | 2022-04-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-28 | 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 | 2022-03-17 | 2022-04-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-17 | 2022-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-04-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-17 | 2022-04-28 | 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 | 2022-03-17 | 2022-04-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-17 | 2022-04-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-17 | 2022-04-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-17 | 2022-04-28 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-12-31 | 2020-08-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-31 | 2020-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-31 | 2020-08-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-31 | 2020-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-31 | 2020-08-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-31 | 2020-08-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-31 | 2020-08-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-12-31 | 2020-08-05 | 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 | 2019-12-31 | 2020-02-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-31 | 2020-02-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-12-31 | 2020-02-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-31 | 2020-02-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-31 | 2020-02-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-31 | 2020-02-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-31 | 2020-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-31 | 2020-02-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-21 | 2019-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2019-12-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-21 | 2019-12-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-21 | 2019-12-12 | N |
| Use approved construction type or materials. | Fire Safety | 2018-10-23 | 2018-12-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-23 | 2018-12-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-23 | 2018-12-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-10-23 | 2018-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-23 | 2018-12-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-23 | 2018-12-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-23 | 2018-12-06 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-10-23 | 2018-12-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-09-20 | 2018-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-20 | 2018-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-20 | 2018-11-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-20 | 2018-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-20 | 2018-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-20 | 2018-10-16 | 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 | 2018-09-20 | 2018-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-20 | 2018-10-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-09-20 | 2018-10-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-20 | 2018-10-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-09-20 | 2018-10-16 | N |
| Provide or obtain dental services for each resident. | Health | 2018-09-20 | 2018-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-20 | 2018-10-16 | N |
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