Deficiency Records for Brickyard Healthcare - Lincoln Hills Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Brickyard Healthcare - Lincoln Hills Care Center. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-12-27 | 2024-01-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-25 | 2023-02-16 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Meet other general requirements. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-17 | 2022-11-17 | 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 | 2022-10-17 | 2022-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-17 | 2022-11-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-17 | 2022-11-17 | 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 | 2022-09-28 | 2022-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-28 | 2022-10-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-28 | 2022-10-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-28 | 2022-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-28 | 2022-10-28 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-28 | 2022-10-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-30 | 2021-09-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Develop a communication plan. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Meet other general requirements. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-09-23 | 2019-10-23 | 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 | 2019-09-23 | 2019-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-23 | 2019-10-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-14 | 2019-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-14 | 2019-09-13 | N |
| Post nurse staffing information every day. | Health | 2019-08-14 | 2019-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-14 | 2019-09-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-14 | 2019-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-24 | 2018-11-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-24 | 2018-11-23 | 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 | 2018-10-24 | 2018-11-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-24 | 2018-11-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-24 | 2018-11-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-10-24 | 2018-11-23 | N |
| 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 | 2018-10-24 | 2018-11-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-24 | 2018-11-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-24 | 2018-11-23 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-10-22 | 2018-11-20 | N |
