Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lawrence Memorial Hospital Snf during CMS and state inspections, most recent first.
The facility failed to post required information, including names, addresses, and phone numbers of pertinent State agencies and advocacy groups. Observations revealed that postings lacked complete contact details, and the administrative nurse indicated that risk management cleared the information for the entire hospital. Residents received some contact numbers in their admission packet, but the facility did not provide a policy on required postings, risking miscommunication of resident rights.
The facility did not establish a system for residents to file grievances anonymously, as required to protect their rights. An inspection revealed no method for anonymous submissions, and interviews showed a lack of awareness among residents and staff about the process. The facility's policy on grievances was not effectively implemented, risking residents' psychosocial well-being.
The facility failed to implement an admissions agreement that protected residents' rights to personal property. The agreement stated that valuables not placed in the facility's safe were the resident's responsibility, absolving the facility of liability for loss or damage. Administrative Nurse D explained the process for logging and reporting missing belongings but did not address the liability waiver. The facility did not provide a policy on admission agreements when requested.
The facility's assessment was incomplete, missing key sections such as staff competencies, physical environment, and cultural considerations. The document provided was undated and lacked details on resources and agreements for services during normal and emergency operations, placing residents at risk for inadequate care.
A facility failed to provide timely written notification to a resident or their representative regarding a transfer to the hospital, and also did not notify the State LTCO. The resident, with impaired mobility and cognition, was transferred due to increased respiratory issues and atrial fibrillation. Staff interviews revealed a lack of awareness and action regarding the notification process, and the facility did not provide a policy on transfer notifications.
A facility failed to establish a bed hold policy and provide written notification to a resident or their representative during a hospital transfer. The resident, with impaired mobility and cognition, was transferred due to increased respiratory issues. Staff confirmed the absence of a bed hold policy and lack of notification, risking the resident's return to the facility.
A resident consented to receive a pneumococcal vaccination, but the LTC facility failed to administer it before discharge. Staff interviews revealed that the vaccination process involved notifying the pharmacy through the EMR, but the vaccination was not given. A conversation with the resident's representative about previous vaccination records was not documented.
The facility did not post the most recent survey results or the last three years of reports in an accessible location for residents and their families. Instead, outdated results from 2020 were found in a binder in a different unit. Staff directed residents to access results online, and no policy was provided for posting survey results, impairing resident rights.
Deficiency in Posting Required State Agency Information
Penalty
Summary
The facility failed to post the required information, including a list of names, addresses (mailing and e-mail), and telephone numbers of all pertinent State agencies and advocacy groups. This deficiency was identified during a survey where it was observed that an empty resident room had a posting directing residents to call the facility's patient advocate, but it did not include the necessary contact information for State agencies. Additionally, a bulletin board in the hallway displayed thank you cards from residents and families, but the important phone numbers listed did not include addresses for the State Agency departments and the State Long-Term Care Ombudsman. During the survey, it was noted that the facility's administrative nurse stated that risk management had cleared the information for the entire hospital, which was the same information available in the skilled nursing unit. The administrative nurse also mentioned that residents received the phone numbers for the Long-Term Care Ombudsman and State Agency in their admission packet and that most residents have internet access and know how to use a phone. However, the facility did not provide a policy on the required postings, and the lack of complete information placed all residents at risk for miscommunication of their rights and impaired resident rights.
Failure to Implement Anonymous Grievance System
Penalty
Summary
The facility failed to implement a system that allows residents and their representatives to file grievances anonymously, which is a requirement to honor residents' rights to voice grievances without fear of discrimination or reprisal. During an inspection, it was observed that there was no submission box or method for filing anonymous grievances. A Resident Rights poster was located near the nurse's station, but it did not include directions on how to file grievances anonymously. Interviews with residents and staff revealed a lack of awareness and clarity on how to file grievances anonymously. One resident stated they were not informed about the grievance filing process, and a licensed nurse mentioned that grievances could probably be filed anonymously through a phone number or website, though this was not clearly communicated. The facility's policy on Customer Complaints and Grievances, approved in May 2022, states that patients and their representatives have the right to express concerns without fear of reprisal and that staff should respond confidentially and professionally. However, the policy did not translate into practice, as evidenced by the lack of a clear system for anonymous grievance submission. The administrative nurse indicated that grievances are typically reported directly to a patient advocate, who then forwards the information to relevant department leaders. Despite the policy's intentions, the absence of a practical, anonymous grievance filing system placed residents at risk for decreased psychosocial well-being.
Failure to Protect Residents' Personal Property Rights
Penalty
Summary
The facility failed to establish and implement an admissions agreement that protected residents' rights to personal property. The facility's Consent to Treatment Authorizations/Agreements/Insurance assignments included a section on Personal Belongings, which stated that the facility maintained a safe for storing patient valuables and recommended that residents place any valuables in the safe during their stay. However, it also stated that all personal belongings not placed in the safe were solely the resident's responsibility, and the facility would not be liable for any resulting loss or damage. This practice posed a risk of loss of personal property, including items of monetary and sentimental value, and compromised residents' dignity and personal rights. During the survey, Administrative Nurse D explained that the Health Information Management department reviewed admission agreements and that an admission log was completed with the resident's belongings upon admission, which the resident signed. If belongings went missing and were not on the log, the resident reported it to the nurse, who then reported it electronically. Risk management would work with the resident to resolve the issue of missing belongings. However, Administrative Nurse D declined to address the admission agreement waiving facility liability for resident belongings and stated she would need to check with risk management. The facility did not provide a policy related to admission agreements upon request.
Inadequate Facility Assessment Lacks Critical Components
Penalty
Summary
The facility failed to develop a comprehensive facility assessment that accurately reflected the required sections, including services provided, staff required, staff competencies, and religious practices. The assessment provided was an undated, half-page document titled 'Transitional Care Unit Facility Assessment,' which lacked essential details such as staff competencies necessary to provide the level and types of care needed for the resident population, the physical environment, equipment, services, and other physical plant considerations. Additionally, it did not address any ethnic, cultural, or religious factors that may affect the care provided by the facility, including activities and food and nutrition services. The facility's assessment also failed to include information on resources, equipment, services provided, contracts, memorandums of understanding, or other agreements with third parties to provide services or equipment during both normal operations and emergencies. Furthermore, it did not cover health information technology resources, such as systems for electronically managing patient records and sharing information with other organizations. The facility's failure to provide a policy related to facility assessment upon request further highlighted the deficiency, placing residents at risk for unidentified care needs and inadequate care and services.
Failure to Notify Resident and Ombudsman of Transfer
Penalty
Summary
The facility failed to provide timely written notification to a resident, identified as R3, or his representative regarding a facility-initiated transfer to the hospital. R3 was admitted to the facility with diagnoses including impaired mobility, cognition, and atrial fibrillation. On the day of the transfer, R3 experienced increased respiratory rate and fatigue, leading to a decision by Consultant GG to admit R3 to a higher level of care. Despite these events, the facility did not document or provide evidence of sending a written notification of the transfer to R3 or his representative. Additionally, the facility did not notify the State Long Term Care Ombudsman (LTCO) of the transfer, as required. Interviews with facility staff, including Administrative Nurse D, Licensed Nurse G, and Social Services X, revealed a lack of awareness and action regarding the notification process for transfers. The facility also failed to provide a policy on transfer notifications, indicating a systemic issue in communication and compliance with regulatory requirements.
Failure to Establish and Notify Bed Hold Policy
Penalty
Summary
The facility failed to establish a bed hold policy and provide written notification of this policy to a resident or their representative during a transfer to a hospital. The resident, who was admitted to the facility and later discharged to the hospital, had diagnoses including impaired mobility, cognition, and atrial fibrillation. The resident's medical records indicated a significant decline in mobility and daily function, and the care plan included measures to address these issues. However, upon transfer to the hospital due to increased respiratory rate and fatigue, there was no evidence of written notification regarding the bed hold policy being sent to the resident or their representative. Interviews with facility staff revealed that there was no existing bed hold policy, and no written notifications were provided during the resident's transfer. Administrative Nurse D and Licensed Nurse G confirmed that notifications were not sent, and Social Services X stated that the facility did not have a bed hold policy. The absence of a bed hold policy and the lack of written notification posed a risk to the resident's ability to return to the facility and their previous room.
Failure to Administer Pneumococcal Vaccination
Penalty
Summary
The facility failed to administer a pneumococcal vaccination to Resident 107, who had consented to receive it on September 26, 2024. Despite the resident's consent, a review of the Medication Administration Record (MAR) during his stay revealed that the vaccination was not administered before his discharge on October 11, 2024. This oversight was identified through observations, record reviews, and interviews conducted during the survey. Interviews with facility staff, including Administrative Nurse D and Licensed Nurse G, indicated that the process for administering vaccinations involved asking residents about their immunization history and preferences during the admission process. If a resident expressed interest in receiving a vaccination, this information was entered into the electronic medical record (EMR), which then notified the pharmacy. However, in the case of Resident 107, there was a breakdown in this process, as the vaccination was not administered before discharge. Consultant HH mentioned a conversation with the resident's representative about obtaining vaccination records from a previous facility, but this was not documented, and the vaccination was not given before discharge.
Failure to Post Survey Results in Accessible Location
Penalty
Summary
The facility failed to comply with regulations requiring the posting of survey results in a location that is easily accessible to residents, family members, or legal representatives. During a tour of the skilled nursing facility, it was observed that the most recent survey results, as well as the last three years of survey reports, were not posted in a prominent and accessible area. Instead, a binder containing outdated survey results from 2020 was found in the dining room area of a different unit, not the skilled nursing facility unit. This oversight was confirmed by Administrative Nurse D, who admitted to not updating the binder because the results were available online. Interviews with residents and staff further highlighted the deficiency. A resident expressed unawareness of how to locate the survey results within the facility. Licensed Nurse G mentioned that the survey results were probably available on the state's website, while Administrative Nurse D directed residents to access the results online. The facility did not provide a policy regarding the posting of survey results, which contributed to the failure to make these documents readily accessible, thereby impairing resident rights.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lawrence
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lawrence Presbyterian Manor | 2.2 mi | ★★★★★ | 13 | 0 |
| Pioneer Ridge Retirement Community | 3.2 mi | ★★★★★ | 26 | 0 |
| Medicalodges Eudora | 8.5 mi | ★★★★★ | 1 | 1 |
| Tonganoxie Terrace | 12.4 mi | ★★★★★ | 31 | 0 |
| Baldwin Healthcare & Rehab Center, Llc | 14.6 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.