Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
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 Lawrence Presbyterian Manor during CMS and state inspections, most recent first.
A resident with Alzheimer’s disease, depression, and impaired cognition who required staff assistance with ADLs was observed with greasy hair, several days of facial hair growth, and a shirt with dried food stains from a prior meal. Documentation showed the resident needed help with bathing, personal hygiene, and dressing and preferred daily shaving, yet bathing occurred only intermittently and the resident reported not remembering the last bath. Staff interviews confirmed expectations to offer showers, provide bed baths if refused, and change clothing and perform hygiene when residents appeared unclean, but these practices were not carried out for this resident, resulting in a failure to provide needed grooming, shaving, and clean clothing.
The facility failed to complete the required yearly performance evaluations for two CNAs, placing residents at risk for inadequate care. Administrative Nurse D acknowledged the oversight and stated that the evaluations had not been completed despite starting the process in August 2023.
A facility failed to ensure a resident's low air loss mattress was set correctly for their weight, increasing the risk of pressure ulcers. The resident, with multiple diagnoses and dependent on staff for all ADLs, had a mattress set at 210 pounds instead of their actual weight of 140.50 pounds. Staff were unclear about the correct settings and believed hospice was responsible for adjustments.
A facility failed to store a resident's CPAP mask in a sanitary manner, increasing the risk of respiratory infection. The resident, with diagnoses of asthma and obstructive sleep apnea, was observed with her CPAP mask laying unbagged on her bedside table. Staff had differing understandings of proper storage, and the facility lacked a clear policy on respiratory equipment care.
The facility failed to ensure nonpharmacological interventions were attempted and documented before administering an antipsychotic medication to a resident with dementia and other conditions. The resident's care plan included monitoring for side effects of Seroquel, but there was no evidence that nonpharmacological approaches were tried first, contrary to the facility's policy.
The facility failed to ensure a communication process was implemented between the facility and the hospice provider, leading to a risk for missed or delayed services and impaired care for a resident with Alzheimer's, dementia, and other conditions. The hospice communication binder lacked essential documentation, and staff were uncertain about its contents and use.
The facility failed to obtain signed consent or declination for the pneumococcal vaccination Prevnar 20 (PCV20) for three residents. The clinical records lacked evidence of receiving Prevnar 20 or having a signed declination, despite the residents having received other pneumococcal vaccinations. Staff acknowledged the oversight and mentioned that they had recently received new guidance regarding Prevnar 20 but had not yet updated their procedures.
The facility failed to retain the daily posted nursing staffing data for the required 18 months. A review found that the data for December 2023 was missing. The nursing staff scheduler was responsible for this task, but the previous staff member did not retain the forms as required by the facility's policy.
Failure to Assist Resident With Grooming, Shaving, and Clean Clothing
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate assistance with activities of daily living (ADLs), specifically grooming, shaving, and maintaining clean clothing for Resident 25. The resident’s EMR documented Alzheimer’s disease, major depressive disorder, hypertension, lack of coordination, and a need for assistance with personal care. A recent MDS showed moderately impaired cognition with a BIMS score of 12 and documented that the resident required setup or cleanup assistance with eating, supervision or touch assistance with oral hygiene, partial/moderate assistance with toileting, and substantial/maximal assistance for bathing. The Care Area Assessment indicated the resident triggered for further review of functional abilities due to cognitive status and increased ADL assistance needs, and the care plan documented dependence on staff for bathing, moderate assistance for personal hygiene and dressing, and a preference to be shaved daily. Despite these identified needs and care plan directives, observations showed the resident sitting in a recliner with greasy hair, three-to-four days of facial hair growth, and a blue shirt with two large food stains that the resident reported were from the previous evening’s supper and had not been changed. The resident stated he liked his face shaved every day and could not remember his last bath. Bathing records showed only sporadic baths and one documented refusal, and staff interviews confirmed that while residents were asked about baths and refusals were reported to nurses, CNAs were expected to change clothing and provide hygiene when residents appeared unclean. Administrative staff stated the expectation that residents receive at least one shower weekly and that CNAs wash and change residents’ clothes and shave them as desired, but the observed condition of the resident and the resident’s statements demonstrated that these expectations were not met, resulting in a failure to ensure assistance with grooming, shaving, and clean clothing in accordance with the resident’s needs and preferences.
Failure to Complete Yearly Performance Evaluations for CNAs
Penalty
Summary
The facility failed to ensure that two of the five Certified Nurse Aides (CNAs) reviewed had the required yearly performance evaluations completed. CNA N, hired on 01/10/14, and CNA M, hired on 05/26/22, did not have their yearly performance evaluations available upon request. Administrative Nurse D acknowledged that he started updating the nursing staff's yearly performance reviews in August 2023 but had not completed the evaluations for CNA M and CNA N. The facility's Staff Competency policy, last reviewed on 10/11/21, mandates that all clinical employees must complete a competency test at their annual review. The lack of completed performance evaluations placed the residents at risk for inadequate care.
Failure to Ensure Correct Mattress Setting for Pressure Ulcer Prevention
Penalty
Summary
The facility failed to ensure that a resident's low air loss mattress was set at the appropriate setting for the resident's weight, who was prone to pressure-related injury. The resident had multiple diagnoses, including dementia, Parkinson's disease, and hypertension, and was dependent on staff for all activities of daily living. The resident's care plan documented the need for a low air loss mattress and regular checks for redness and application of barrier cream. However, the care plan did not specify the correct setting for the mattress, and the mattress was observed to be set at 210 pounds, significantly higher than the resident's actual weight of 140.50 pounds. Licensed nurses and administrative staff were unsure about the correct settings and believed that the hospice was responsible for adjusting the mattress settings. The facility's Skin Integrity policy required nursing staff to evaluate skin integrity, implement preventative measures, and treat skin breakdown. Despite this policy, the facility did not ensure that the low air loss mattress was set correctly, placing the resident at increased risk for the development of pressure ulcers. Interviews with staff revealed a lack of clarity and responsibility regarding the adjustment of mattress settings, indicating a gap in the facility's procedures and communication regarding pressure ulcer prevention and care.
Improper Storage of CPAP Mask
Penalty
Summary
The facility failed to ensure that a resident's CPAP mask was stored in a sanitary manner, which increased the risk of respiratory infection. The resident, who had diagnoses of asthma, pulmonary nodule, and obstructive sleep apnea, was observed on multiple occasions with her CPAP mask laying directly on her bedside table unbagged. Despite having intact cognition and requiring extensive assistance with activities of daily living, the resident's CPAP mask was not stored properly when not in use. This was confirmed through observations on two separate days and interviews with staff members who acknowledged the mask should be bagged or stored in a container with a cleaning solution. The facility did not have a policy related to the care of respiratory equipment, and staff members had differing understandings of how the CPAP mask should be stored. A Certified Nurse Aide believed the mask should be stored in a plastic bag, while a Licensed Nurse stated the resident's daughter was responsible for cleaning and replacing the mask. An Administrative Nurse indicated that the nursing staff should clean the mask and store it in a container. The lack of a clear policy and consistent practice led to the deficient practice of improper storage of the CPAP mask, placing the resident at an increased risk of developing a respiratory infection.
Failure to Attempt Nonpharmacological Interventions Before Administering Antipsychotic Medication
Penalty
Summary
The facility failed to ensure nonpharmacological interventions were attempted and documented prior to the administration of an antipsychotic medication for Resident 2, who had a diagnosis of dementia, Parkinson's disease with Lewy bodies, neurocognitive disorder, psychotic disorder, and hypertension. The resident's electronic medical record lacked documentation or evidence of nonpharmacological symptom management interventions that were implemented and failed before starting Seroquel. The care plan for Resident 2 included monitoring for potential side effects of Seroquel, but there was no evidence that nonpharmacological approaches were tried first. Licensed Nurse G stated that antipsychotic medications were acceptable for residents with a dementia diagnosis and that nonpharmacological interventions would be tried first if possible. Administrative Nurse D also acknowledged that a nonpharmacological approach would be best but noted that residents often came into the facility already on antipsychotic medications. The facility's policy on psychotropic medication use emphasized that such medications should not be used unless necessary to treat medical symptoms and that gradual dose reductions and behavioral interventions should be attempted unless clinically contraindicated. Despite this policy, the facility did not document attempts at nonpharmacological interventions for Resident 2 before administering Seroquel.
Failure to Implement Communication Process with Hospice Provider
Penalty
Summary
The facility failed to ensure a communication process was implemented between the facility and the hospice provider, which included how the communication would be documented. This deficiency was identified during a review of a resident's (R32) care. R32 had diagnoses of Alzheimer's disease, dementia, hearing loss, anxiety, and dysphagia, and was dependent on two staff assistants for all activities of daily living. The resident's care plan documented that the facility would coordinate care and services with the hospice provider, including weekly nurse visits and hospice aide visits for various care needs. However, the hospice communication binder lacked the plan of care for R32 and the physician-signed terminal diagnosis for admission to hospice, with the last documentation of hospice care dated 05/02/24. Interviews with staff revealed uncertainty about the contents and use of the hospice binders, and the facility was unable to provide a policy related to hospice services. The deficiency created a risk for missed or delayed services and impaired care for R32. The facility's failure to implement a clear communication process and document the necessary information in the hospice binder led to this issue. Staff interviews indicated that hospice information was kept in binders, but there was confusion about what to look for and where to find specific care plans. The administrative nurse confirmed that the facility collaborated with hospice through care plans, but R32's care plan had been scanned into the medical records instead of being placed in the hospice binder. The lack of a documented communication process between the facility and the hospice provider contributed to the deficiency.
Failure to Obtain Consent or Declination for Prevnar 20 Vaccination
Penalty
Summary
The facility failed to obtain signed consent or declination for the pneumococcal vaccination Prevnar 20 (PCV20) for three residents. Specifically, the clinical records of these residents lacked evidence of receiving Prevnar 20 or having a signed declination for the vaccination. This deficiency was identified during a review of the clinical records and interviews with the facility staff. The residents involved had previously received other pneumococcal vaccinations (Prevnar 13 and Pneumovax 23) but not the Prevnar 20, which is now recommended as per the latest guidance. The facility staff, including licensed nurses and administrative nurses, acknowledged the oversight and mentioned that they had recently received new guidance regarding the importance of Prevnar 20. However, the facility's existing policy on immunizations, last revised in January 2022, did not reflect this new guidance. The staff stated that they had started working on updating their procedures to include Prevnar 20 but had not yet completed the process. This lapse in updating and implementing the new immunization guidance led to the failure in obtaining the necessary consents or declinations for the affected residents.
Failure to Retain Daily Nursing Staffing Data
Penalty
Summary
The facility failed to retain the daily posted nursing staffing data for the required 18 months. The facility identified a census of 35 residents. Upon review, it was found that the daily posted nursing staffing data for December 2023 (31 days) was missing. An interview with Administrative Nurse D revealed that the nursing staff scheduler was responsible for ensuring the retention of these records. However, the previous staff member who was responsible for maintaining the posted nursing staff hours had not retained the forms as required. The facility's policy, last reviewed on 10/11/21, stated that the Daily Nurse Staffing Form should be maintained for a minimum of 18 months and filed in the business office. The failure to retain these records was a violation of this policy.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 174 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
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) |
|---|---|---|---|---|
| Pioneer Ridge Retirement Community | 1.6 mi | — | 25 | 0 |
| Lawrence Memorial Hospital Snf | 2.2 mi | — | 0 | 0 |
| Medicalodges Eudora | 9.8 mi | — | 1 | 1 |
| Baldwin Healthcare & Rehab Center, Llc | 13.6 mi | — | 1 | 0 |
| Tonganoxie Terrace | 14.6 mi | — | 31 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Lawrence Presbyterian Manor.
100% money-back within 48 hours.
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.