A list of the most recent deficiencies for Lincolnwood Place. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-28 | 2023-12-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-11-28 | 2023-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-28 | 2023-12-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-28 | 2023-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-28 | 2023-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-28 | 2023-12-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-28 | 2023-12-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-28 | 2023-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-15 | 2023-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-23 | 2023-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-24 | 2023-03-21 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-28 | 2023-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-24 | 2023-02-22 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-12-09 | 2023-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-09 | 2023-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-28 | 2023-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-28 | 2023-02-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-28 | 2023-02-03 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-28 | 2023-01-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-12-28 | 2023-01-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-28 | 2023-01-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-28 | 2023-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-28 | 2023-01-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-28 | 2023-01-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-28 | 2023-01-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-24 | 2022-11-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-24 | 2022-11-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-24 | 2022-11-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-22 | 2022-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-22 | 2022-06-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-22 | 2022-06-17 | Y |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-02-04 | 2022-03-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-04 | 2022-03-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-28 | 2022-02-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-28 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-28 | 2022-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-28 | 2022-02-18 | N |
