Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mesun Health And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to properly store, label, and dispose of food items, affecting 47 residents on an oral diet. Observations revealed dented cans, unrefrigerated opened items, expired foods, and unlabeled opened packages. Staff interviews indicated a lack of oversight during the CDM's absence, leading to inconsistent adherence to food safety protocols.
The facility failed to implement an effective water management plan to prevent Legionella and other waterborne pathogens. Despite having policies in place, staff interviews revealed gaps in awareness and execution of preventive measures beyond annual testing. The Infection Prevention and Control Nurse and Maintenance Director were not fully informed of comprehensive strategies, leading to a deficiency in the infection prevention and control program.
The facility failed to transmit MDS assessments within regulatory guidelines for 31 residents due to staffing inconsistencies and unclear responsibilities. The MDS Coordinator could not submit assessments without an RN signature, and the DON was absent, leading to a backlog. The facility experienced turnover in the MDS RN Coordinator position, causing delays in submission.
A facility failed to develop a baseline care plan within 48 hours of admission for a resident, omitting critical medications like an opioid and a diuretic. The resident had multiple diagnoses, including heart failure and chronic kidney disease, and was prescribed hydrocodone acetaminophen and furosemide. Interviews with staff revealed gaps in the care planning process, with the ADON and MDS LPN acknowledging the oversight and lack of documented interventions for managing high-risk medications.
A resident with moderate cognitive impairment and a primary language of Korean did not have her language preferences included in her care plan until months after admission. Staff used tools like a translator line and communication boards, but these were not documented in the care plan. The oversight was acknowledged by the ADON and Medical Director, highlighting the need for communication to be a focus in care plans.
Food Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure proper storage, labeling, and disposal of food items, which could potentially affect 47 of 49 residents consuming an oral diet. Observations revealed several issues, including a large dented can of corn, and multiple items in the pantry that were not refrigerated after opening, such as soy sauce, grape jelly, Italian dressing, and barbecue sauce. Additionally, expired foods like a bag of long grain rice and seven bags of marshmallows were found, along with numerous opened food packages without labels displaying the date they were opened. The freezer contained food items with frostbite, such as meat and fish, which also lacked open dates. Interviews with staff highlighted a lack of oversight and adherence to food safety protocols. The Certified Dietary Manager (CDM) was on vacation, and there was confusion about who was in charge in her absence. Staff confirmed that open containers should be labeled with open dates and that dented cans should not be used, yet these practices were not consistently followed. The Registered Dietitian Consultant noted that during her last kitchen observation, items were dated and the kitchen was clean, but she was unaware of the CDM's absence until her arrival at the facility.
Deficiency in Water Management Plan for Infection Control
Penalty
Summary
The facility failed to develop an effective water management plan to prevent the growth and spread of Legionella and other opportunistic waterborne pathogens throughout its water system. The facility's policies, titled Infection Prevention and Control Program and Water Management, were reviewed and found lacking in routine water management activities. The policies indicated that control measures and testing protocols should be in place to address potential hazards associated with the facility's water system. However, the facility's water management team did not regularly verify the implementation of the water management program as designed, nor did they evaluate its effectiveness at least annually using routine infection control surveillance data, water quality data, and rounding data. Interviews with facility staff revealed gaps in the implementation of the water management plan. The Infection Prevention and Control Nurse stated that the facility had policies and procedures in place to prevent the spread of Legionella, but the Administrator was only aware of annual testing and not of other preventive measures. The Maintenance Director confirmed performing daily temperature checks and annual testing for Legionella but was unaware of additional measures to prevent the growth of water-borne pathogens. This lack of awareness and implementation of comprehensive preventive measures contributed to the deficiency in the facility's infection prevention and control program.
Failure to Transmit MDS Assessments Timely
Penalty
Summary
The facility failed to ensure that required Minimum Data Set (MDS) assessments were transmitted within regulatory guidelines to the Centers for Medicare and Medicaid Services (CMS) Quality Improvement Evaluation System (QIES) Assessment Submission and Processing (ASAP) System for 31 residents out of 44 sampled residents. The facility's policy required that all MDS assessment files be transmitted within 14 days of the completion date. However, several assessments were either coded as 'export ready' but not submitted or were still 'in progress' despite being more than 120 days old. This issue was identified through a review of the facility's policy, staff interviews, and record reviews. The deficiency was attributed to a lack of consistent staffing and clear responsibility for the submission of MDS assessments. The MDS Coordinator indicated that assessments could not be submitted without a Registered Nurse (RN) signature, and the current Director of Nursing (DON) was responsible for signing them. However, the DON had been absent for an extended period, and there was no one else assigned to sign off on the assessments. The facility had experienced turnover in the MDS RN Coordinator position, with four different coordinators in the past year, leading to a backlog of unsubmitted assessments. Interviews with the Administrator and Assistant Director of Nursing (ADON) revealed confusion over who was responsible for submitting the assessments, contributing to the delay in submission.
Failure to Develop Baseline Care Plan for High-Risk Medications
Penalty
Summary
The facility failed to develop a baseline care plan within 48 hours of admission for a resident, which included addressing two critical medications: an opioid and a diuretic. This oversight was identified during a review of the facility's policy on baseline care plans, which mandates that such plans be developed within 48 hours of a resident's admission and include necessary healthcare information such as physician orders and interventions for high-risk medications. The resident in question had multiple diagnoses, including heart failure and chronic kidney disease, and was prescribed hydrocodone acetaminophen and furosemide. However, the baseline care plan did not document these medications, leaving staff without guidance on managing potential side effects or necessary interventions. Interviews with facility staff, including the Assistant Director of Nursing (ADON) and the Minimum Data Set (MDS) Licensed Practical Nurse (LPN), revealed gaps in the care planning process. The ADON confirmed that high-risk medications should be monitored and included in the care plan, but acknowledged a lack of awareness on how these items were care planned. The MDS LPN admitted to not having completed the baseline care plan for the resident, despite being familiar with the case. This deficiency in care planning could potentially lead to adverse medical effects for the resident, as there were no documented interventions for staff to follow.
Failure to Include Language Preferences in Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan that included communication or language preferences for a resident whose primary language was not English. The resident, identified as R179, was admitted with diagnoses including Covid-19, presence of a cardiac pacemaker, hypothyroidism, and generalized muscle weakness. The Admission Minimum Data Set (MDS) assessment indicated her preferred language was Korean, and she had moderate cognitive impairment. Despite this, the care plan did not address her language needs until several months after her admission, which could adversely impact her quality of care and life. Interviews with facility staff revealed that the MDS Licensed Practical Nurse (LPN) was self-taught and the only MDS nurse on staff, confirming the oversight in the care plan. The staff used various tools like a translator telephone line and communication boards to communicate with non-English-speaking residents, but these were not documented in the care plan for R179. The Assistant Director of Nursing (ADON) and the Medical Director acknowledged the omission and agreed that including communication as a focus concern in the care plan would be beneficial for addressing potential challenges related to language, cognition, or diagnosis.
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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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Nursing homes near Lawrenceville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Ctr Of Lawrenceville | 3.6 mi | — | 6 | 0 |
| Cambridge Post Acute Care Center | 7.2 mi | — | 4 | 0 |
| Parkside Post Acute And Rehabilitation | 7.6 mi | — | 0 | 0 |
| Delmar Gardens Of Gwinnett | 7.9 mi | — | 0 | 0 |
| Salude - The Art Of Recovery | 8.3 mi | — | 0 | 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 August 2026) and official state health department websites.