A list of the most recent deficiencies for Lincoln Glen Skilled Nursing. 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 | 2023-11-13 | 2023-12-13 | 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 | 2023-11-13 | 2023-12-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-13 | 2023-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2023-12-13 | N |
| 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 | 2023-11-13 | 2023-12-13 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-11-13 | 2023-12-13 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-05-20 | 2022-06-24 | 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 | 2022-05-20 | 2022-06-24 | 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 | 2022-05-20 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-20 | 2022-06-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-20 | 2022-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-20 | 2022-06-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-20 | 2022-06-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-20 | 2022-06-17 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-05-20 | 2022-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-20 | 2022-06-17 | N |
| Use approved construction type or materials. | Fire Safety | 2022-05-24 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-06-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-24 | 2022-06-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-24 | 2022-06-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-24 | 2022-06-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-24 | 2022-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-24 | 2022-06-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-09 | 2019-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-09 | 2019-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-09 | 2019-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-09 | 2019-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-09 | 2019-07-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-04-24 | 2019-05-16 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-04-24 | 2019-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-24 | 2019-05-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-24 | 2019-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-24 | 2019-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-24 | 2019-05-16 | N |
