A list of the most recent deficiencies for South Lincoln Nursing Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-13 | 2023-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-13 | 2023-05-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-28 | 2023-05-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-28 | 2023-05-01 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-01-26 | 2023-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-26 | 2023-03-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-26 | 2023-03-01 | 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 | 2023-01-26 | 2023-03-01 | 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 | 2023-01-26 | 2023-03-01 | 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 | 2023-01-25 | 2023-03-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-25 | 2023-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-25 | 2023-03-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-25 | 2023-03-01 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-01-25 | 2023-03-01 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-01-25 | 2023-02-14 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-25 | 2023-01-31 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-01-25 | 2023-01-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-01-25 | 2023-01-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-01-25 | 2023-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-25 | 2023-01-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-02 | 2021-12-09 | 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 | 2021-11-02 | 2021-12-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-11-04 | 2021-11-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-11-04 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-11-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-04 | 2021-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-02 | 2021-11-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-11-04 | 2021-11-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-02 | 2021-11-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-11-02 | 2021-11-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-02 | 2021-11-12 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2019-11-07 | 2020-01-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-11-07 | 2019-12-31 | 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 | 2019-11-07 | 2019-12-20 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-07 | 2019-12-17 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-11-07 | 2019-12-13 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-07 | 2019-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-07 | 2019-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-06 | 2019-11-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-06 | 2019-11-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-11-06 | 2019-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-06 | 2019-11-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-07 | 2019-11-14 | N |
