A list of the most recent deficiencies for Lincoln Care and Rehab. 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? |
|---|---|---|---|---|
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-15 | 2024-02-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-03 | 2023-11-04 | 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 | 2023-10-03 | 2023-11-04 | 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 | 2023-10-03 | 2023-11-04 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-03 | 2023-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-03 | 2023-11-04 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-03 | 2023-11-04 | 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 | 2022-03-03 | 2022-04-03 | 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 | 2022-03-03 | 2022-04-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-03 | 2022-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-03 | 2022-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-03 | 2022-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-03 | 2022-04-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-03 | 2022-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-03 | 2022-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-03 | 2022-04-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-02-08 | 2022-03-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-08 | 2022-03-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-08 | 2022-03-03 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-02-08 | 2022-03-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-08 | 2022-03-03 | 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 | 2022-02-08 | 2022-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-08 | 2022-03-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-08 | 2022-03-03 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-08 | 2022-03-03 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-08 | 2022-03-03 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-02-08 | 2022-03-03 | Y |
| 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 | 2022-02-08 | 2022-03-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-08 | 2022-03-03 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-08 | 2022-03-03 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-12-29 | 2021-01-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-29 | 2021-01-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-12-29 | 2021-01-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-12-29 | 2021-01-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-12-29 | 2021-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-12-29 | 2021-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-14 | 2020-10-20 | N |
