A list of the most recent deficiencies for Lincoln County Nursing 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-17 | 2023-11-12 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-10-17 | 2023-11-12 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-17 | 2023-11-12 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-10-27 | 2022-12-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-27 | 2022-12-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-27 | 2022-12-10 | N |
| 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 | 2022-10-27 | 2022-12-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-27 | 2022-12-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-10-27 | 2022-12-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-27 | 2022-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-27 | 2022-12-10 | 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 | 2022-10-27 | 2022-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | 2022-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | 2022-12-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-27 | 2022-12-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-27 | 2022-12-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-27 | 2022-12-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-27 | 2022-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-12-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-27 | 2022-12-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-27 | 2022-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-12-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-27 | 2022-12-10 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-10-27 | 2022-12-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-27 | 2022-12-10 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-10-27 | 2022-12-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-12-10 | 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 | 2022-10-27 | 2022-12-10 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-27 | 2022-12-10 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Meet other general requirements. | Fire Safety | 2022-10-27 | 2022-12-10 | 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 | 2022-10-27 | 2022-12-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-27 | 2022-12-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-01 | 2021-08-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-01 | 2021-08-11 | 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 | 2021-07-01 | 2021-08-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-01 | 2021-08-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-01 | 2021-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-08-11 | 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 | 2021-07-01 | 2021-08-11 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-07-01 | 2021-08-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-20 | 2019-08-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-06-20 | 2019-08-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-06-20 | 2019-08-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-20 | 2019-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-20 | 2019-08-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-20 | 2019-08-01 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-20 | 2019-08-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-20 | 2019-08-01 | 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 | 2019-06-20 | 2019-08-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-06-20 | 2019-08-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-20 | 2019-08-01 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-06-20 | 2019-08-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-20 | 2019-08-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-08-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-20 | 2019-08-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-20 | 2019-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Establish methods for sharing information. | Fire Safety | 2019-06-20 | 2019-08-01 | 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 | 2019-06-20 | 2019-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-20 | 2019-08-01 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2018-03-29 | 2018-05-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-29 | 2018-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-29 | 2018-05-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-29 | 2018-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-29 | 2018-05-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-03-29 | 2018-05-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-03-29 | 2018-05-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-29 | 2018-05-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-03-29 | 2018-05-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-29 | 2018-05-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-03-29 | 2018-05-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-29 | 2018-05-07 | N |
