Lincoln Park Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Mar 24, 2026

  Based on interviews, review of medical records, and review of other pertinent facility documents on 3/19/2026 and 3/24/2026, it was determined that the facility failed to maintain a safe environment to ensure adequate supervision to prevent the elopement of a resident (Resident #2). Resident #2, who was noted to exhibit in the presence of staff exit seeking behavior, was transferred to a secure unit on 03/04/2026. Resident #2 also had a Wander Guard in place since admission to the facility since 2024. This device would initiate an alarm and alert staff in the event of an attempt to leave the secured unit. This deficient practice was identified for 1 of 3 (Resident #2) reviewed for elopement. […]

• No harm, potential for more than minimal, widespreadF805Dec 15, 2025

  Based on observation, interview, and review of facility documentation, it was determined that the facility failed to prepare resident meals in the proper consistency for 3 of 6 residents (Resident #53, #224, and #326) reviewed on a modified diet during dining observation.This deficient practice was evidenced by the following: 1. On 12/8/25 at 12:17 PM, the surveyor observed Resident #53 in the 2nd floor dining room. Certified Nursing Assistant (CNA#1) provided Resident #53 with their lunch tray. The surveyor observed the resident received whole French fries. Surveyor interviewed CNA#1, who stated Resident #53's diet is chopped consistency. […]

• No harm, potential for more than minimal, widespreadF806Dec 15, 2025

  Based on observations, interviews, record review, and review of pertinent facility documents, it was determined that the facility failed to ensure that resident's dietary preferences were consistently implemented and followed for 5 of 5 residents (Resident #53, #134, #224, #326 and #501) reviewed for dietary preferences during meal observations.This deficient practice was evidenced as follows:1. On 12/8/25 at 12:17 PM, the surveyor was observing the lunch meal on the second-floor dining room. The surveyor observed Resident #53's tray, per the tray ticket, Resident #53 was supposed to receive an egg salad sandwich, 1/2 cup fortified mashed potatoes and 4 ounces (oz) sherbet, all three items were missing from the resident's tray. […]

• No harm, potential for more than minimal, widespreadF812Dec 15, 2025

  Based on observation, interview, and review of facility policies, it was determined that the facility failed to maintain proper kitchen sanitation practices in a manner to prevent food borne illness.On 12/04/25 at 9:24 AM, the surveyor in the presence of the Food Service Director observed the following during the kitchen tour:1. In preparation area #1, the surveyor observed dietary aide (DA#1) and the Chef both wearing hooped earrings. DA#1 stated hooped earrings are ok as long as they do not hang down to your shoulders.2. In the walk-in freezer, the surveyor observed multiple items stored higher than 18 inches from the ceiling and a full tray of meatloaf labeled with a use by date of 12/2/25. […]

• No harm, potential for more than minimal, widespreadF814Dec 15, 2025

  Based on observation, interviews, and review of facility policies, it was determined that the facility failed to provide a sanitary environment for residents, staff, and the public by failing to keep the dumpster and surrounding area free of garbage and debris.This deficient practice was observed and evidenced by the following:On 12/4/25 at 9:24 AM, the surveyor in the presence of the Food Service Director (FSD) toured the kitchen and garbage area and found the following: There was garbage debris that included carboard, food wrappers, food containers, cups, gloves, paper products, plastic bottles, medication cups, and around the dumpster and surrounding areas. […]