Deficiency Records for Lincoln County Nursing and Rehab
Updated as of January 01, 2023
This is not the most recent data for Lincoln County Nursing and Rehab. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-01-13 | 2021-02-03 | 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 |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-27 | Not Fixed | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-10-27 | Not Fixed | 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 | 2022-10-27 | Not Fixed | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-27 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-27 | Not Fixed | N |
Assess the resident when there is a significant change in condition | Health | 2022-10-27 | Not Fixed | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-27 | Not Fixed | 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 | Not Fixed | 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 | Not Fixed | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | Not Fixed | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | Not Fixed | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-27 | Not Fixed | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-27 | Not Fixed | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-27 | Not Fixed | N |
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 | Not Fixed | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-27 | Not Fixed | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-10-27 | Not Fixed | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-10-27 | Not Fixed | 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 | Not Fixed | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-10-27 | Not Fixed | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-10-27 | Not Fixed | N |
Provide and implement an infection prevention and control program. | Health | 2022-10-27 | Not Fixed | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-27 | Not Fixed | N |
Put firmly secured handrails on each side of hallways. | Health | 2022-10-27 | Not Fixed | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2022-10-27 | Not Fixed | N |
Establish policies and procedures including evacuation. | Fire Safety | 2022-10-27 | Not Fixed | N |
Establish policies and procedures for volunteers. | Fire Safety | 2022-10-27 | Not Fixed | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-10-27 | Not Fixed | N |
Meet other general requirements. | Fire Safety | 2022-10-27 | Not Fixed | 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 | Not Fixed | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-27 | Not Fixed | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-10-27 | Not Fixed | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-27 | Not Fixed | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-27 | Not Fixed | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-27 | Not Fixed | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-27 | Not Fixed | 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 | Not Fixed | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-27 | Not Fixed | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-27 | Not Fixed | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-27 | Not Fixed | N |