Eventide Lincoln Care Center

In the surveyor’s words

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

• Actual harm, isolatedF803Jun 25, 2026

  Licensure Reference Number 174 NAC 12-006.11 (A) Based on record review and interview, the facility failed to provide the correct therapeutic diet for one resident (Resident 3) of 5 sampled residents. The facility census was 142.Findings are: A record review of the admission Record with the printed date of June 25th, 2026 revealed that Resident 3 was admitted to the facility on [DATE] with the diagnosis of Pneumonitis due to inhalation of food and vomit, Dementia (a decline in mental abilities severe enough to interfere with daily life), and dysphagia (difficulty swallowing food or liquids). […]

• Actual harm, isolatedF757Sep 23, 2021

  Licensure Reference Number 175 NAC 12-006.12B Based on observations, interviews, record reviews, and review of policy and procedures, the facility failed to ensure a resident received adequate monitoring for appropriate dosing, indications for use, and adverse (harmful) effects for ophthalmic (administered in the eyes) [MEDICATION(S)] (steroid). This affected one of seven residents (Resident 399) reviewed for unnecessary medications. This deficient practice resulted in Resident 399 receiving [MEDICATION(S)] directly into both the resident's eyes four times a day from 01/10/2020 to 09/10/2020. […]

• No harm, potential for more than minimal, widespreadF812Apr 30, 2026

  Licensure Reference Number 175 NAC 12-006.11(E), 12-007.01(A) Based on observations, record review and interview, the facility failed to ensure foods stored were not expired, had been sealed and dated when opened, and the facility failed to prevent cross-contamination between spices and the meat products. This had the potential to affect all residents who had meals from the kitchen. The facility census was 140. Findings are: A. An observation of the kitchen on 4/27/26 at 7:30 AM revealed: In the prep refrigerator -a bag of flour tortilla opened with no date on the bag and the bag had slits on the front of the bag -Caesar dressing opened with no date on the bottle. […]

• No harm, potential for more than minimal, widespreadF865Apr 30, 2026

  Licensure Reference Number NAC 175 12-006.07(C) Based on interviews and record review, the facility failed to reevaluate and revise the plan of corrective action to prevent recurrence of past performance issues. This had the potential to affect all residents residing in the facility at the time of the survey. The facility census was 140. Findings are: A record review of the facility provided, undated Current List of Active Performance Improvement Plans (PIP's) on 4.27.2026 included Client Satisfaction, Skin/Wound Documentation, Psychotropic Medications, and Falls. A record review of the facility's Statement of Deficiencies dated 12.17.2024 revealed deficient practice areas including care planning, medication errors, and infection control practices. […]

• No harm, potential for more than minimal, widespreadF880Dec 17, 2024

  Licensure Reference Number 175 NAC 12.006.18(B) Licensure Reference Number 175 NAC 12.006.18(D) Based on observation, interview, and record review, the facility failed to ensure Yellow Zone signs were posted at the entrances to the 100 hallway, ensure [NAME] Zone signs were posted on the entrances of [NAME] and Good Houses, and ensure passive screening education was posted at Good, [NAME], and [NAME] Houses to prevent the spread of COVID-19. This had the potential to affect all residents in the facility. […]