Aperion Care Lincoln

In the surveyor’s words

From the most serious findings on record at Aperion Care Lincoln, in the surveyor’s own words.

• Actual harm, isolatedF760Apr 9, 2025

  Based on record review and interview, the facility failed to ensure residents were free from significant medication errors for 1 of 2 residents reviewed for hospitalization . A resident did not receive blood pressure medications and was admitted to the hospital two times for hypertensive emergencies. (Resident B) Finding includes: On 4/7/25 at 9:24 A.M., Resident B's clinical record was reviewed. Diagnoses included, but were not limited to, hypertensive encephalopathy. The most recent Annual Minimum Data Set assessment, dated 1/3/25, indicated Resident B was moderately cognitively intact. […]

• Actual harm, isolatedF690Mar 4, 2024

  Based on observation, interview, and record review, the facility failed to ensure effective treatment and services were provided to residents with Urinary Tract Infections (UTIs) in 2 of 3 residents reviewed for UTIs. Urinalysis (UA) and Culture and Sensitivity (C&S) tests were not completed or followed up on, antibiotics were not prescribed in a timely manner, and catheter care was not performed correctly. This deficient practice resulted in Resident 21 being hospitalized for the treatment of pyelonephritis (a kidney infection). […]

• Actual harm, isolatedF689Aug 1, 2022

  Based on observation, interview, and record review, the facility failed to provide an environment free of accident hazards for 2 of 4 residents reviewed. A cognitively impaired resident had medications in their room, unlocked and unattended. Resident 24 had six falls in two months, one resulted in a fracture to the left hip with one additional fall after the fracture. (Resident 24, Resident 13) Findings include: 1. On 7/29/22 at 9:07 A.M., Resident 24's clinical record was reviewed. Diagnosis included, but were not limited to, depression, dementia, and osteopenic bones. […]

• No harm, potential for more than minimal, widespreadF659Mar 26, 2026

  Based on interview and record review, the facility failed to ensure employees held an active license required to provide nursing care to residents. An employee did not have an active nursing license that provided care to residents. (100 unit, 200 unit) This deficient practice was corrected on November 3, 2025, prior to the start of the survey, and was therefore past noncompliance.Finding includes: On 3/25/26 at 11:15 a.m., an employee file for LPN 2 (Licensed Practical Nurse) was reviewed. The file did not contain documentation of a license for a Licensed Practical Nurse. LPN's hire date was 9/30/25, termination date 11/1/25. […]

• No harm, potential for more than minimal, widespreadF812Apr 9, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was stored in sanitary manner for 1 of 2 kitchen observations. Food containers were not labeled in the reach in refrigerator and dry storage. Findings include: On 4/3/25 at 10:35 A.M., the following was observed in the dry storage area: - One bag of [NAME] noodles with no open date - One bag of marshmallows with no open date On 4/3/25 at 10:57 A.M., the following was observed in the reach in refrigerator: - One container of orange juice without preparation date or use by date - One container of apple juice without a preparation date or use by date - One green container with orange colored fluid without a label, preparation date, or use by date - One pink container with brown colored fluid without a… […]