Brickyard Healthcare - Lincoln Hills Care Center

In the surveyor’s words

From the most serious findings on record at Brickyard Healthcare - Lincoln Hills Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF882Feb 21, 2025

  Based on interview and record review, the facility failed to ensure a qualified Infection Preventionist (IP) was working at least part-time at that facility. Documentation was not available to show how many hours were dedicated to the infection control program by the Director of Nursing (DON) who was certified and Registered Nurse (RN) 7 who had not completed training. Finding includes: During an interview on 2/21/25 at 11:34 A.M., the DON indicated she was the Infection Preventionist (IP) covering the DON position and the IP position for the last two months. She indicated RN 7 was assisting and would be the IP after completing training but was not certified at that time. […]

• No harm, potential for more than minimal, patternF583Apr 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure privacy was provided for the residents for 6 of 6 random observations on 2 of 3 halls. Resident information was visible on the computer screens in Hall A and Hall B and staff did not knock prior to entering a resident room. (Hall A, Hall B, Resident D)Findings include:1. On 4/9/26 at 8:37 A.M., Hall A's Medication Cart was observed in the hallway with resident information (resident name, picture, and room number) visible on the computer screen without staff present at the computer.2. On 4/13/26 from 6:13 A.M. […]

• No harm, potential for more than minimal, patternF658Apr 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure physician orders were followed for 2 of 5 residents reviewed for unnecessary medications, and an insulin pen was not primed for 2 of 2 insulin administration observations. A blood pressure medication was not held as indicated in the order parameters, and a resident's blood sugar was not re-checked as ordered. (Resident 5, Resident 4, Resident D)Findings include:1. On 4/14/26 at 9:46 A.M., Resident 5's clinical record was reviewed. […]

• No harm, potential for more than minimal, patternF679Apr 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were provided activities to meet the interests of and well-being of each resident for 1 of 1 weekends reviewed for activities.Findings include:During the resident council meeting on 4/13/26 at 11:20 A.M., residents indicated they don't have activities on the weekends. One resident indicated he can't get around to host them or even tell people there are any. On 4/14/26 at 9:55 A.M., an activity calendar hanging in Hall 2 was reviewed and indicated the following dates and activities to be held:Saturday, 4/11/26 at 10:00 A.M. magnet game, 11:00 A.M. mealtime memories, 1:00 P.M. daily chronicles, 1:30 P.M. music and conversationsSunday, 4/12/26 at 10:00 A.M. tv time, 11:00 A.M. mealtime music, 1:00 P.M. […]

• No harm, potential for more than minimal, patternF880Apr 16, 2026

  Based on observation, interview, and record review, the facility failed to ensure infection control practices were followed for 2 of 4 residents during observation of incontinence care and 2 ofv4 observations of medication administration. Gloves were not changed and hand hygiene was not performed between dirty and clean tasks during perineal care. The nurses dropped medications onto the medication cart, picked them up with their bare hand, and administered it to the residents. (Resident C, Resident B, Resident D, Resident G). Findings include:1. On 4/13/26 at 6:13 A.M., Licensed Practical Nurse (LPN) 5 was observed preparing medications for Resident G. When she poured the prepackaged medications into the medication cup, one pill fell onto the medication cart. […]