Lincoln Healthcare Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF641Jun 12, 2025

  Based on record review, and staff interview, the facility failed to accurately complete the Minimum Data Set (MDS) Assessment regarding discharge and dental. This is true for two (2) of (18) reviewed during the Long-Term Care Survey Process (LTCSP). Resident identifiers: #56, #11 and #32. Facility census: 59. Findings include: a) Resident #56. A discharge medical record review of Resident #56 revealed a progress note on 05/22/25 at 12:24 PM stated that Resident #56 was discharged to the emergency room. […]

• No harm, potential for more than minimal, patternF812Oct 4, 2023

  Based on observations and staff interviews, the facility failed to maintain the kitchen in a safe and sanitary manner in accordance with professional standards of practice. During the kitchen tour it was discovered the floor of the walk-in freezer was dirty. The racks holding the cups, bowls, and thermal warmers needed to be cleaned. This had the potential to affect all residents receiving nutrition from the kitchen. Facility census: 59. Findings included: a) Kitchen tour During the kitchen tour on 10/02/23 at 11:15 AM, it was discovered the floor of the walk-in freezer had debris along the back wall. The bowls, cups, glasses were stored rim down on racks and the thermal plate warmers were also stored on racks with a crusted dust build up. […]

• No harm, potential for more than minimal, patternF880Oct 4, 2023

  Based on observation, record review, and staff interview, the facility failed to establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. Signage for Enhanced Barrier Precautions (EBP) was not placed in a location that could be viewed by everyone entering the residents' rooms. This was true for four (4) of four (4) residents reviewed for the care area of transmission-based precautions (TBP). Resident identifiers: #16, #51, #45, and #22. […]

• No harm, potential for more than minimal, patternF925Oct 4, 2023

  Based on observations and staff interview the facility failed to ensure an appropriate pest control program. This deficient practice had the potential to affect all residents dining or attending activities in this area. A random opportunity for discovery revealed a swarm of gnats in and around the uncovered trash can located in the dining room. Facility census: 59. Findings included: a) Pest control During a random observation of the dining room on 10/02/23 at 11:35 AM, it was discovered a trash can did not have a lid and when the Director of Plant Maintenance (DPM) moved the trash can gnats swarmed from the trash can. […]

• No harm, potential for more than minimal, patternF578May 16, 2022

  Based on record review and staff interview, the facility failed to ensure six (6) of thirteen Residents reviewed for the care area of advance directives had the West Virginia Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident identifiers: #5, #54, #355, #15, #50, and #51. Census: 57. Findings included: a) Resident #5 Record review found the resident's responsible party completed a copy of the 2020 POST form on [DATE]. The form indicated verbal consent was obtained from the resident's health care surrogate (HCS) with 2 facility witnesses. […]