A list of the most recent deficiencies for Lincoln Park Nursing and Rehab LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-21 | 2024-01-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-21 | 2024-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-01-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-21 | 2024-01-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-21 | 2024-01-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-12-21 | 2024-01-12 | 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 | 2023-12-21 | 2024-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-21 | 2024-01-12 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-12-21 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-21 | 2024-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-21 | 2024-01-12 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-11 | 2024-01-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-07 | 2023-10-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-01 | 2023-02-22 | 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 | 2023-02-01 | 2023-02-22 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-02-01 | 2023-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-01 | 2023-02-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-01 | 2023-02-22 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-02-01 | 2023-02-22 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-08-30 | 2022-09-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-29 | 2022-09-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-29 | 2022-09-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-29 | 2022-09-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-29 | 2022-09-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-29 | 2022-09-21 | 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 | 2022-08-29 | 2022-09-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-29 | 2022-09-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-29 | 2022-09-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-29 | 2022-09-21 | Y |
| 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 | 2022-08-29 | 2022-09-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-29 | 2022-09-21 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-29 | 2022-09-21 | 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 | 2022-08-29 | 2022-09-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-29 | 2022-09-21 | Y |
| 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 | 2022-08-29 | 2022-09-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-29 | 2022-09-21 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-29 | 2022-09-21 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-30 | 2022-09-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-11 | 2021-11-01 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-06-11 | 2021-11-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-11 | 2021-11-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-09 | 2021-09-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-09 | 2021-09-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-10 | 2021-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-06 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-11 | 2021-07-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-11 | 2021-07-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-11 | 2021-06-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-03-11 | 2021-04-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-11 | 2021-04-07 | Y |
