Lincoln Hills of New Albany

In the surveyor’s words

From the most serious findings on record at Lincoln Hills of New Albany, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jul 10, 2023

  Based on record review and interview, the facility failed to ensure a resident with a history of respiratory failure and hypercapnia, who had recently had a surgical procedure, received appropriate care and monitoring when she experienced a sudden change in condition and had complaints of not being able to breathe. The resident was found with blue discoloration around her mouth and no visible signs of life. (Resident E) The Immediate Jeopardy began on [DATE], when Resident E experienced a change in condition while in the dining room. She became weak and tired and requested to go to bed. The resident was slipping down in her chair. The resident was placed in her room and left in her wheelchair. […]

• Actual harm, isolatedF686Sep 30, 2024

  Based on observation, record review and interview, the facility failed to ensure a resident was provided the care and services to prevent the development of skin breakdown for four areas, to ensure the skin assessments identified a pressure ulcer prior to it becoming a Stage 3 wound, and the worsening of the Stage 3 pressure ulcer. This resulted in the wound worsening to a Stage 4 pressure ulcer. (Resident 18) Findings include: The record for Resident 18 was reviewed on 9/26/24 at 10:27 a.m. […]

• Actual harm, isolatedF689Aug 29, 2023

  Based on record review and interview, the facility failed to ensure interventions were implemented for falls and to ensure safe transfer procedures were implemented for a resident that required maximum assistance which resulted in multifocal acute intracranial hemorrhage, right convexity subdural hematoma, small acute subarachnoid hemorrhage in the right sylvian fissure and interhemispheric fissure and small volume acute intraventricular hemorrhage in the right lateral ventricle for 1 of 6 residents reviewed for accidents. (Resident 57) Findings include: 1.a The record for Resident 57 was reviewed on 8/24/23 at 9:30 a.m. […]

• Actual harm, isolatedF689Oct 17, 2022

  Based on record review and interview, the facility failed obtain a physician's order and ensure safe usage of warm compresses which resulted in second-degree [CONDITION(S)] to a resident's back for 1 of 3 residents reviewed for accidents. (Resident C) Finding includes: The review of the 10/3/22 Incident Report to the State indicated Resident C requested a warm compress to be placed on her back for muscle aches. LPN (Licensed Practical Nurse) 2 placed the warm cloth on the resident's back. The resident reported no discomfort, but the area was slightly red later with small blisters. The clinical record for Resident C was reviewed on 10/17/22 at 9:30 a.m. […]

• Actual harm, isolatedF689Jul 29, 2022

  Based on observation, record review, and interview the facility failed to ensure interventions were implemented for falls and to ensure safe transfer procedures were implemented for a resident that required maximum assistance which resulted in bilateral knee fractures (Resident B) for 3 of 5 residents reviewed for accident hazards. (Residents B, H, and F) Findings include: 1. The clinical record for Resident B was reviewed on 7/26/22 at 9:30 a.m. The diagnoses included, but were not limited to, [CONDITION(S)], diabetes mellitus, fracture of shaft of left fibula, nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur, [CONDITION(S)], renal osteodystrophy, specified disorders of bone density and structure, pain, heart failure, muscle weakness, renal… […]