Center at Lincoln, LLC, The

In the surveyor’s words

From the most serious findings on record at Center at Lincoln, LLC, The, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 5, 2025

  Based on observations, record review and interviews, the facility failed to ensure residents received adequate supervision to prevent accidents for one (#1) of five residents reviewed for accidents out of five sample residents.Resident #1 was admitted on [DATE] for postoperative left knee replacement rehabilitation services and physical therapy. Resident #1 was determined to be a high fall risk related to her postoperative status and history of falls. On 10/17/25 Resident #1 sustained an unwitnessed fall when she was left unattended in the bathroom.On 10/24/25 Resident #1 sustained an additional fall when she was left unattended in the shower. She sustained a left femur fracture that was deemed inoperable for repair. […]

• Actual harm, isolatedF684Nov 21, 2024

  Based on record review, observations, and interviews, the facility failed to provide treatment and care in accordance with professional standards of practice for one (#53) one resident out of 60 sample residents. Resident #53 was admitted to the facility for rehabilitation services on 10/4/24 with a diagnosis of fracture of the left femur, end stage renal disease, type two diabetes and morbid obesity. The 10/5/24 admission skin assessment indicated the resident had a surgical incision on her left hip, multiple scattered bruises to both upper extremities and a chest port for dialysis. The assessment did not indicate that the resident had any abdominal wounds. […]

• Actual harm, isolatedF689Jan 27, 2021

  Based on observations, record review and interviews, the facility failed to provide an environment as free from accident hazards and risks as possible for two (#1 and #13) out of five residents reviewed for accidents out of 16 sample residents. Specifically, the facility failed to recognize Resident #1 was at high risk for falls and did not identify and initiate initial fall interventions. The resident was admitted to the facility for rehabilitation on 1/1/21 from the hospital after a previous fall that resulted in a head injury and a broken neck. […]

• No harm, potential for more than minimal, widespreadF804Nov 21, 2024

  Based on observations, record review and interviews, the facility failed to consistently serve food that was palatable and attractive. Specifically, the facility failed to consistently ensure foods were appealing and palatable in temperature and seasoning. Findings include: I. Facility policy and procedure The Food Palatability policy and procedure, revised 8/22/22, was provided by the nursing home administrator (NHA) on 11/22/24 at 8:38 a.m. It revealed in pertinent part, Food and drink each resident receives and the facility provides foods prepared by methods that conserve nutritive value, flavor, and appearance. […]

• No harm, potential for more than minimal, widespreadF812Nov 21, 2024

  Based on observations, record review and interviews, the facility failed to ensure food was prepared, distributed and served under sanitary conditions in the main kitchen and two of two nourishment refrigerators. Specifically, the facility failed to: -Ensure ready-to-eat foods were handled in a sanitary manner to prevent cross contamination in the main kitchen; and, -Ensure safe and appropriate storage of food items in the kitchen and nourishment room refrigerators. Findings include: I. Failed to ensure ready-to-eat foods were handled in a sanitary manner A. Professional reference The Colorado Retail Food Establishment Regulations, ([DATE]), were retrieved on [DATE] from https://cdphe.colorado.gov/environment/food-regulations. […]