Deficiency Records for Lincolnshire Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Lincolnshire Health and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2023-12-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-07 | 2023-12-15 | Y |
| Post nurse staffing information every day. | Health | 2023-12-07 | 2023-12-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-07 | 2023-12-15 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-16 | 2023-10-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-16 | 2023-10-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-16 | 2023-10-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-16 | 2023-10-13 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-07-28 | 2023-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-28 | 2023-08-09 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-28 | 2023-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-28 | 2023-08-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-28 | 2023-08-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-28 | 2023-08-09 | N |
| Post nurse staffing information every day. | Health | 2023-07-28 | 2023-08-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-28 | 2023-08-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-07-28 | 2023-08-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-28 | 2023-08-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-09 | 2023-05-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-09 | 2023-05-23 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-01 | 2023-03-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-01 | 2023-03-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-03-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-01 | 2023-03-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-01 | 2023-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-01 | 2023-03-17 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-11-07 | 2022-11-18 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-11-07 | 2022-11-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-07 | 2022-11-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-07 | 2022-11-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-26 | 2022-10-06 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-08 | 2022-08-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-08 | 2022-08-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-08 | 2022-08-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-22 | 2022-08-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-22 | 2022-08-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-22 | 2022-08-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-22 | 2022-08-03 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-22 | 2022-08-03 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-07-22 | 2022-08-03 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-22 | 2022-08-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-22 | 2022-08-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-22 | 2022-08-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-22 | 2022-08-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-04 | 2022-01-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-09 | 2021-12-16 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-12-09 | 2021-12-16 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-09 | 2021-12-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-24 | 2021-09-01 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-08-24 | 2021-09-01 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-17 | 2021-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-17 | 2021-06-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-17 | 2021-06-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-17 | 2021-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-07 | 2021-06-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-07 | 2021-06-14 | 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 | 2021-06-07 | 2021-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-07 | 2021-06-14 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-04-06 | 2021-04-14 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-06 | 2021-04-14 | Y |
