A list of the most recent deficiencies for Ambassador Health of Lincoln. 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2023-12-21 | 2024-02-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-21 | 2024-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-02-02 | 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 | 2023-12-21 | 2024-02-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-12-21 | 2024-02-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-24 | 2023-03-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-24 | 2023-03-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-24 | 2023-03-10 | 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 | 2023-01-24 | 2023-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-24 | 2023-03-10 | 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 | 2023-01-18 | 2023-03-09 | 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 | 2023-01-18 | 2023-03-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-18 | 2023-03-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-01-18 | 2023-03-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-07 | 2021-11-21 | N |
| 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 | 2021-10-07 | 2021-11-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-07 | 2021-11-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-07 | 2021-11-21 | 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 | 2021-10-07 | 2021-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-05 | 2021-11-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-05 | 2021-11-21 | N |
