M I Nursing & Restorative Center
M I NURSING & RESTORATIVE CENTER in LAWRENCE, MA — inspection on October 2, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
The surveyor did not attempt an interview with the Resident at this time because his/her daughter said he/she did not talk much.
During an interview on 10/02/2025 at 9:21 A.M., CNA #1 said she has been Resident #1's primary CNA during the day shift for a very long time. CNA #1 said Resident #1 is dependent for all care and requires two staff to assist for all toileting and bed mobility tasks. CNA #1 said two CNAs are required to ensure safety for the Resident because the Resident is too heavy for one person to move on their own.
During a telephone interview on 10/02/2025 at 3:10 P.M., CNA #2 said she provided care to Resident #1 on September 3, 2025, when the incident occurred. CNA #2 said she had been providing care to Resident #1's roommate and when leaving the room observed Resident #1 to be soiled. CNA #2 said Resident #1 was not on her assignment, however, because the Resident was soiled, she decided to provide incontinence care. CNA #2 said she attempted to ask for help from the other CNA on duty, but he was busy, so she began to provide care on her own. CNA #2 said she did not ask the nurse on duty for assistance. CNA #2 said as she began to roll Resident #1 to his/her left side, she heard a crack in the Resident's right arm, and she then went to get the nurse for help. CNA #2 said all CNAs have the ability to look up Kardex or care plan information, however she did not look up information prior to her shift. CNA #2 said she was also aware that Resident #1 required two people for care, but she decided to provide care on her own anyway and did not ask the nurse or wait until the other CNA was available.
During a telephone interview on 10/02/2025 at 3:12 P.M., Nurse #1 said the staff providing care to the residents are able to access and view any resident care plan or Kardex to see the level of care required.
Nurse #2 said Resident #1 has always required two staff for personal care and bed mobility tasks because he/she is very heavy and for safety of both staff and the Resident, one person cannot do it alone.
Nurse #1 said CNA #2 provided care to Resident #1 by herself and never asked him to assist her.
Nurse #2 said he will assist all CNAs during his shift as needed or asked.
During an interview on 10/02/25 at 2:02 P.M., the Director of Nursing said CNA #2 observed Resident #1 to be soiled in bed, could not find help from the other CNA and provided care to the Resident herself.
The Director of Nursing said she never asked CNA #2 if she asked the nurse for help and was unsure of this.
The Director of Nursing said that while CNA #2 was providing care, she heard Resident #1's arm snap and immediately got the nurse for help and the Resident was sent out to the hospital after he/she was assessed, and the Nurse Practitioner and health care proxy were notified.
The Director of Nursing said CNA #2 was relatively new to the floor and was not familiar with the residents.
The Director of Nursing said the Kardex is available for the staff to review, and she was aware CNA #2 did not review this prior to starting her shift or providing care to Resident #1.
The Director of Nursing said CNA #2 did not follow the plan of care written for Resident #1
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