CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Serenity Estates of Lincolnshire
View the most recent health deficiencies and inspection results for Serenity Estates of Lincolnshire. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Serenity Estates of Lincolnshire. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-29 | 2026-04-30 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-04-29 | 2026-04-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-24 | 2026-03-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-24 | 2026-03-25 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2026-02-11 | 2026-02-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-11 | 2026-02-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-11 | 2026-02-16 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2026-02-11 | 2026-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-11 | 2026-02-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-28 | 2026-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-28 | 2026-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-26 | 2025-12-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-24 | 2025-06-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-24 | 2025-06-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-06-24 | 2025-06-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-24 | 2025-06-27 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-24 | 2025-06-27 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-24 | 2025-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-24 | 2025-06-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-04-24 | 2025-06-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-05-27 | 2025-05-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-27 | 2025-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-20 | 2025-05-22 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-05-20 | 2025-05-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-24 | 2025-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-24 | 2025-04-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-24 | 2025-04-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-24 | 2025-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-24 | 2025-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-24 | 2025-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-17 | 2025-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-17 | 2025-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-21 | 2025-03-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-11 | 2025-03-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-11 | 2025-03-14 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-03-11 | 2025-03-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-22 | 2025-02-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-02-11 | 2025-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-02 | 2024-12-23 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-12-16 | 2024-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-16 | 2024-12-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | 2024-12-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-16 | 2024-10-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-25 | 2024-10-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-07 | 2024-09-18 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-31 | 2024-08-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-10 | 2024-07-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-05 | 2024-06-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-06 | 2024-05-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-30 | 2024-05-06 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-31 | 2024-05-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-31 | 2024-05-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-31 | 2024-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-31 | 2024-05-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-31 | 2024-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-31 | 2024-04-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-31 | 2024-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-31 | 2024-02-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-31 | 2024-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-31 | 2024-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-31 | 2024-02-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-31 | 2024-02-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-31 | 2023-11-09 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-31 | 2023-11-09 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-31 | 2023-11-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-31 | 2023-11-09 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-22 | 2023-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-22 | 2023-03-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-22 | 2023-03-27 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-03-22 | 2023-03-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-22 | 2023-03-23 | N |