Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 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 Lawrence Rehabilitation Hospital during CMS and state inspections, most recent first.
The facility failed to conduct thorough contact tracing during a COVID-19 outbreak, as required by policy and health guidelines. The Infection Preventionist did not complete or document contact tracing efforts, and the line listing was incomplete, missing entries for some positive cases. The facility's policies for contact tracing and testing were not fully implemented, leading to a deficiency in managing the outbreak.
The facility failed to properly label and date opened food items in the walk-in meat freezer, as observed by a surveyor. An opened slab of roast beef and a bag of Salisbury patties were found without labels or dates. The Food Service Directors acknowledged the oversight, and the items were discarded. The facility's policy requires all refrigerated or frozen foods to be covered, labeled, and dated, which was not adhered to in this instance.
The facility failed to complete required audits for the two-step TB skin test for active employees as part of their QAPI program. While audits were conducted for newly hired employees in January, no audits were completed for active employees from January to August, contrary to the QAPI plan. The LNHA and IP acknowledged the oversight during interviews.
The facility failed to implement its antibiotic stewardship program effectively, as the IP could not provide documentation or demonstrate the use of surveillance criteria. The LNHA and DON acknowledged the program's review during QAPI meetings but noted the lack of evidence. A resident received antibiotics without proper documentation, highlighting the deficiency in monitoring and prescribing practices.
A facility failed to consistently document the administration of a resident's enteral tube feeding on the MAR. The resident, who had a PEG tube due to dysphagia, was present in the facility during the dates when the MAR entries were left blank. The LPN/UM acknowledged the lack of documentation, and the DON confirmed that such omissions were unacceptable. Facility policies emphasized the importance of proper documentation, which was not adhered to in this case.
Deficiency in COVID-19 Contact Tracing and Documentation
Penalty
Summary
The facility was found to have a deficiency in its infection prevention and control program during an active COVID-19 outbreak. The surveyor noted that the facility failed to conduct complete and thorough contact tracing upon the identification of a new COVID-19 case, as required by the facility policy and guidelines from the CDC and health departments. This deficiency was identified in the case of a resident who had tested positive for COVID-19 and was expected to complete isolation precautions. Despite the outbreak status, there was no signage or PPE indicating isolation precautions for the resident, and the LPN assigned to the resident was unaware of the COVID-19 status. The Infection Preventionist (IP) admitted to not having completed contact tracing for the outbreak, stating that documentation was only partially done in the comment section of the line listing. The IP had not used the CDC checklist for contact tracing and had not documented interviews with staff or residents to determine close contacts. The IP also stated that no specific education related to COVID-19 was provided to staff during the outbreak. The facility's line listing was incomplete, missing entries for some positive cases, and lacked comprehensive documentation of contact tracing efforts. The facility's policies required contact tracing and testing of close contacts, but these procedures were not fully implemented. The IP's failure to document contact tracing and the lack of comprehensive information on the line list were noted by the Licensed Nursing Home Administrator and the Director of Nursing as issues. The facility's policy outlined specific steps for contact tracing, including identifying the infectious period and potential exposures, but these were not followed, leading to the deficiency in managing the COVID-19 outbreak effectively.
Failure to Properly Label and Date Opened Food Items
Penalty
Summary
The facility failed to handle potentially hazardous food properly, which could lead to foodborne illness. During an initial tour of the kitchen, a surveyor observed an opened slab of roast beef and an opened bag containing six Salisbury patties in the walk-in meat freezer. Both items were not labeled or dated. This observation was made in the presence of two Food Service Directors (FSD #1 and FSD #2). FSD #1 acknowledged that all items in the freezer should be dated once opened, and FSD #2 discarded the unlabeled items. The Licensed Nursing Home Administrator confirmed in an interview that opened food packages should be labeled and dated with a use-by date. A review of the facility's policy on Food Receiving and Storage, revised in November 2022, indicated that all foods stored in the refrigerator or freezer must be covered, labeled, and dated with a use-by date. This practice was not followed, leading to the deficiency.
Failure to Complete QAPI Audits for Employee Health
Penalty
Summary
The facility failed to ensure that their Quality Assurance and Performance Improvement Program (QAPI) effectively analyzed quantitative data to evaluate program effectiveness and implement new processes. This deficiency was identified during a standard survey. The surveyor requested the facility's QAPI book during the entrance conference, which was provided three days later. The review of the QAPI book revealed that the facility initiated a QAPI project in January 2024 concerning the two-step tuberculosis (TB) skin test for employee health. The Infection Preventionist (IP) and Human Resources (HR) were responsible for auditing active employee files, but the process was ongoing without completion. By April 2024, the QAPI project was still ongoing, and there was no documented evidence of audits for active employees from January to August 2024. During interviews, the Licensed Nursing Home Administrator (LNHA) acknowledged that audits were only completed for newly hired employees in January 2024, not for active employees as required by the QAPI plan. The LNHA confirmed that audits from February to August 2024 were not completed and should have been presented at QAPI meetings. The Infection Preventionist (IP) admitted that the audits for active employees fell by the wayside, although the plan was to review all active employees. The facility's undated QAPI Program policy outlined the process for identifying and correcting quality deficiencies, including tracking and measuring performance, but these steps were not followed as required.
Deficiency in Antibiotic Stewardship Program Implementation
Penalty
Summary
The facility failed to fully implement its antibiotic stewardship program, as evidenced by the lack of ongoing monitoring and use of nationally recognized surveillance criteria before consulting the prescriber. This deficiency was identified during a survey when the Infection Preventionist (IP) was unable to provide documentation of the antibiotic stewardship program or demonstrate the use of the McGeer Criteria tool. The IP admitted to monitoring residents on antibiotics but could not produce a report or identify a resident currently being monitored for antibiotic stewardship. The Licensed Nursing Home Administrator (LNHA) and Director of Nursing (DON) both acknowledged that the antibiotic stewardship program was reviewed during Quality Assurance Performance Improvement (QAPI) meetings. However, they also noted that the IP should have been able to provide evidence of the program when requested. The LNHA eventually provided a binder used for antibiotic stewardship, but it only contained laboratory data and reports from the electronic health record, lacking documented evidence of McGeer Criteria Assessments. Resident #27 was identified as a case where the antibiotic stewardship program was not properly implemented. The resident was ordered and received Amoxicillin-Pot Clavulanate for a bacterial infection, but the Medication Administration Record (MAR) showed blanks for several administration times, indicating a lack of documentation. Additionally, the facility's policy on antibiotic stewardship emphasized the importance of monitoring antibiotic use and ensuring appropriate prescribing practices, which were not adhered to in this case.
Failure to Document Enteral Tube Feeding Administration
Penalty
Summary
The facility failed to ensure consistent documentation of the administration of a resident's enteral tube feeding on the Medication Administration Record (MAR). This deficiency was identified for a resident who was fully cognitively intact and had a percutaneous endoscopic gastrostomy (PEG) tube due to dysphagia and other medical conditions. The resident's care plan included specific goals and interventions related to enteral nutrition, but there were instances where the MAR was left blank, indicating a lack of documentation for whether the tube feeding was administered or held. During the survey, it was observed that the MAR entries for the resident's tube feeding were not signed out on several occasions, specifically on 08/25/24, 08/27/24, 08/28/24, and 08/29/24. The Licensed Practical Nurse Unit Manager (LPN/UM) acknowledged that the resident was present in the facility during these dates and that the nurse did not properly document the administration of the tube feeding. The LPN/UM admitted there was no excuse for the lack of documentation and confirmed that there were no orders to hold the tube feeding. The Director of Nursing (DON) also confirmed that blanks on the MAR were unacceptable and highlighted the importance of documentation in nursing practice. The facility's policy on enteral tube feeding and medication administration emphasized the need for proper documentation, including the date, time, and signature of the person performing the procedure. The lack of documentation was identified as a problem, as it was unclear whether the care was provided, despite the resident being in the facility.
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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) |
|---|---|---|---|---|
| Lawrence Rehab & Hcc/the Meadows At Lawrence | 0.2 mi | — | 1 | 1 |
| Clover Meadows Healthcare And Rehabilitation Cente | 1 mi | — | 1 | 0 |
| Avant Rehabilitation And Care Center | 3.2 mi | — | 0 | 0 |
| Preferred Care At Mercer | 3.9 mi | — | 10 | 0 |
| Greenwood House Home For The Jewish Aged | 4 mi | — | 12 | 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.