Lincoln Community Care Center

In the surveyor’s words

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

• Immediate jeopardy, patternF880Oct 3, 2023

  Surveyor: [NAME], [NAME] Based on observation, interview and record review, facility staff failed to maintain an infection prevention and control program to provide a safe and sanitary environment to help prevent the potential spread of COVID-19 (an acute respiratory illness in humans caused by the coronavirus, SARS-CoV-2) and other infections, when staff failed to follow acceptable infection control practices for COVID-19. The facility failed to separate four residents (Resident #1, #2, #3, and #4) who tested positive for COVID-19 from four residents (Resident #5, #6, #7 and #8) who had tested negative for COVID-19, which placed the residents at an increased risk of contracting COVID-19 due to prolonged exposure. The facility census was 50. […]

• No harm, potential for more than minimal, widespreadF812Mar 29, 2023

  Based on observation, interview and record review, the facility staff failed to store food in a manner to protect from potential contamination and out-dated use. Facility staff failed to prohibit the reuse of single-service containers for food storage. Facility staff failed to perform hand hygiene as often as necessary using approved techniques to prevent cross-contamination. Facility staff also failed to allow sanitized dishes to air dry prior to stacking in storage and use to prevent the growth of food-borne pathogens and cross-contamination. The facility census was 48. 1. […]

• No harm, potential for more than minimal, patternF569Jun 20, 2024

  Based on record review and interview, facility staff failed to refund resident funds within 30 days of discharge for 17 residents (Resident # 255, #256, #257, #258, #259, #260, #260, #262, #263, #264, #265, #266, #267, #268, #269, #270, and #271) out of 41 sampled residents. The facility census was 55. 1. Review of the facility's refunds policy, undated, showed the policy did not contain direction for staff on resident refunds after discharge. 2. Review of the facility's aging report (report showing outstanding invoices and balances), dated [DATE], showed the following residents had money in the facility's operating account: -Resident #255 was discharged on [DATE]: with a balance of $3,503.61; -Resident #256 was discharged on [DATE]: with a balance of $3,658.59; -Resident #257 was… […]

• No harm, potential for more than minimal, patternF657Jun 20, 2024

  Based on observation, interview, and record review, facility staff failed to ensure care plans were reviewed and revised to include appropriate fall interventions for six (Resident #10,#12, #13, #19, #35, and #42) out of eight sampled resident's. Staff failed to ensure care plans reflected the use of side rails for one (Resident #42) out of eight sampled residents. The facility census was 55. 1. Review of the facility's Care Plans, Comprehensive Person-Centered, revised December 2016, showed: -Identifying problem areas and their causes, and developing interventions that are targeted and meaningful to the resident, are the endpoint of an interdisciplinary process; -Care plan interventions are chosen only after careful data gathering, proper sequencing of events, careful consideration of… […]

• No harm, potential for more than minimal, patternF658Jun 20, 2024

  Based on observation, interview, and record review, facility staff failed to maintain professional standards of practice when staff did not complete neurological assessments after unwitnessed falls for two residents (Resident #35, and #42) of 14 sampled residents. Staff failed to get physician orders to self-administer eye drops for two residents (Resident #33 and #39) of 14 sampled residents. The facility census was 55. 1. Review of the facility's policy titled, Falls- Clinical Protocol, revised 09/12, showed the nurse shall assess and document/report the following: -Vital signs; -Neurological status; -Falls should be identified at witnessed or unwitnessed events. Review of the nurse's Fall Reports, showed the report directed staff neurological checks must be initiated if not witnessed. […]