Lawrence Co Nursing Center
LAWRENCE CO NURSING CENTER in MONTICELLO, MS — inspection on September 4, 2025.
Found 3 citations. 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
actions that can be measured.
implement care plan interventions during wound care for two (2) of (2) wound care observations
review date of 12/24, revealed, .The comprehensive care plan is an interdisciplinary communication tool.The facility staff shall follow the care plan.Resident #2A record review of the Order Summary Report revealed Resident #2 had a physician's order, dated 7/4/25, to Cleanse excoriated area to the right hip with wound cleanser, pat dry, apply Santyl ointment . and Hydrofera blue classic daily to the wound.
Secure with adhesive foam until healed.
There was also an order, dated 8/22/25, to Cleanse stage 3 pressure ulcer to sacrum with wound cleanser, pat dry, apply Santyl, gentamicin 0.1%, nystatin powder, calcium alginate and cover with border foam dressing daily.A record review of the Care Plan Report revealed a Resident #2 had Interventions including .Cleanse Stage 3 Pressure Ulcer to Sacrum with Wound Cleanser, Pat Dry. and Cleanse excoriated area to the Rt (Right) hip with wound cleanser, pat dry.On 9/4/25 at 9:50 AM, during an observation of wound care provided to Resident #2, Licensed Practical Nurse (LPN) #1 did not pat the wound on the right hip dry before applying Santyl, gentamicin, nystatin powder, calcium alginate, and foam dressing. LPN #1 also did not dry the sacral wound before applying calcium alginate and foam dressing, contrary to the physician's orders and the resident's care plan.A record review of the admission Record revealed the facility admitted Resident #2 on 12/24/20 with diagnoses including a Pressure Ulcer.A record review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 6/16/25 revealed Resident #2 had a Brief Interview for Mental Status (BIMS) score of 3, which indicated the resident was severely cognitively impaired.Resident #3A record review of the Care Plan Report revealed Resident #3 had Interventions including Cleanse Stage 2 to sacrum with wound cleanser, pat dry.A record review of the Order Summary Report revealed Resident #3 had a physician's order, dated 6/20/25, to Cleanse Stage 2 pressure wound to the sacrum with wound cleanser, pat dry, lightly pack calcium alginate to the wound and secure with adhesive foam until healed.On 9/4/25 at 10:35 AM, during an observation of wound care for Resident #3, LPN #1 cleansed the sacral wound with gauze soaked in wound cleanser, inserted gauze into the wound bed with a cotton swab and applied calcium alginate without patting the wound dry as ordered and care planned.On 9/4/25 at 11:04 AM, during an interview, LPN #1 acknowledged that she did not pat dry the wounds prior to applying the dressings and confirmed she did not follow the physician's orders or the care plan.On 9/4/25 at 3:25 PM, during an interview, the Director of Nursing (DON) stated LPN #1 did not follow the care plan during wound care for Residents #2 and #3.
She stated her expectation is that all staff follow the care plan when providing care to residents.On 9/4/25 at 4:34 PM, during an interview, Registered Nurse (RN) #1, the MDS/Case Manager, stated that staff should follow the care plan, which is developed to direct resident care.
She confirmed LPN #1 did not follow the care plan and explained that the care plan is designed to inform staff of the resident's care needs.A record review of the admission Record revealed the facility admitted Resident #3 on 3/18/19 with diagnoses including a Pressure Ulcer.A record review of the Quarterly MDS with an ARD of 7/7/25 revealed Resident #3 had a BIMS score of 4, which indicated the resident was severely cognitively impaired.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
255214 09/04/2025
Lawrence CO Nursing Center 700 Jefferson Street South Monticello, MS 39654
severely cognitively impaired.
255214 09/04/2025
Lawrence CO Nursing Center 700 Jefferson Street South Monticello, MS 39654
table during treatment, creating the potential for cross-contamination and infection, for one (1) of two
Control, revised 4/21, revealed The facility will maintain an Infection Control Program designed to provide a safe, sanitary, and comfortable environment with minimal exposure to the transmission of disease and infection.On 9/4/25 at 10:35 AM, during an observation of wound care provided to Resident #3's sacral wound, Licensed Practical Nurse (LPN) #1 entered the resident's room with supplies carried on a white disposable barrier.
She placed the barrier on the foot of the resident's bed, then placed a bottle of hand sanitizer and clean gloves directly on the resident's bedside table without disinfecting the surface. LPN #1 donned (put on) gloves, then removed the resident's soiled dressing and placed it in a biohazard bag.
She then removed her gloves, sanitized her hands, and reapplied gloves obtained from the bedside table. LPN #1 repeated this process four times, each time retrieving gloves and sanitizer from the undisinfected bedside table before continuing wound care.On 9/4/25 at 11:04 AM, during an interview, LPN #1 confirmed she did not disinfect the bedside table before placing wound care supplies on it.
She stated she should have cleaned the table before and after wound care and acknowledged her actions placed the resident at risk for infection.On 9/4/25 at 12:24 PM, during an interview, the Director of Nursing (DON) stated LPN #1 should have disinfected the bedside table and used a barrier before placing supplies on it.
She explained that failure to follow this practice could lead to infection.On 9/4/25 at 2:23 PM, during an interview, LPN #2, the facility's Infection Preventionist (IP) nurse, confirmed that no items should be placed on a bedside table without first disinfecting it.
She stated that germs present on the surface could be transferred to the gloves and sanitizer bottle, then carried to the resident's wound during care, creating a risk of infection.A record review of the admission Record revealed the facility admitted Resident #3 on 3/18/19 with current diagnoses including a Pressure Ulcer of sacral region, stage 2.A record review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 7/7/25 revealed Resident #3 had a Brief Interview for Mental Status (BIMS) score of 4, which indicated the resident was severely cognitively impaired.A record review of the Order Summary Report revealed Resident #3 had a physician's order, dated 6/20/25, to Cleanse Stage 2 pressure wound to the sacrum with wound cleanser, pat dry, lightly pack calcium alginate to the wound and secure with adhesive foam until healed.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.