Lincoln Park Manor Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Aug 20, 2025

  The facility identified a census of 34 residents. The facility had one main kitchen and one main dining area. Based on observation, record review, and interview, the facility failed to ensure the director of food and nutrition services had the required qualifications of a certified dietary manager (CDM). This placed residents at risk for unmet dietary and nutritional needs.Findings included:- On 08/19/25 at 08:20 AM, Dietary BB stated she did not have her CDM certification, but the administrator and she were currently enrolled in classes to get certified.On 08/19/25 at 10:15 AM, Administrative Staff A stated that the dietary manager and she were currently in classes to get certified as a dietary manager. […]

• No harm, potential for more than minimal, widespreadF880Aug 20, 2025

  The facility identified a census of 34 residents. The sample included 13 residents. Based on observation, record review, and interview, the facility failed to ensure staff followed appropriate Enhanced Barrier Precautions (EBP- infection control interventions designed to reduce transmission of resistant organisms which employ targeted gown and glove use during high contact care) and hand hygiene while providing wound care to Resident (R) 38 and R2. The facility failed to ensure R10's nasal cannula (NC- a hollow tube medical device that provides supplemental oxygen therapy to people who have lower oxygen levels) and nebulizer (a device that changes liquid medication into a mist easily inhaled into the lungs) mask was properly stored when not in use. […]

• No harm, potential for more than minimal, widespreadF801Dec 19, 2023

  The facility had a census of 32 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to employ a full time certified dietary manager for the 32 residents who resided in the facility and received meals form the facility kitchen. This placed the residents at risk for inadequate nutrition. Findings included: - On 12/14/23, review of the noon meal consisted of enchiladas, refried beans, whole kernel corn, garlic bread, and apple pie. On 12/14/23 at 11:20AM, observation revealed Dietary Staff BB in the kitchen overseeing the preparation of the noon meal. On 12/13/23 at 08:1AM, Dietary Staff BB verified she was not a certified dietary manager. […]

• No harm, potential for more than minimal, widespreadF812Dec 19, 2023

  The facility had a census of 32 residents. The sample included 14 residents. Based on observation, record review, and interview, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for the 32 residents who received their meals from the facility's kitchens when staff stored uncovered hamburger in two freezers. Kitchen staff failed to defrost the chest freezer and clean the outside of a chest and upright freezer. Kitchen staff failed to ensure the dishwasher sanitizing test strips were still effective. […]

• No harm, potential for more than minimal, widespreadF851Dec 19, 2023

  The facility had a census of 32 residents. Based on observation, interview and record review, the facility failed to submit complete and accurate staffing information through Payroll Based Journaling (PBJ) as required. This deficient practice placed the residents at risk for unidentified and ongoing inadequate nurse staffing. Findings included: - The PBJ report provided by the Centers for Medicare & Medicaid Services (CMS) for Fiscal Year (YR) 2023 Quarter 2 and 3 indicated the facility did not have licensed nurse coverage 24 hours a day, seven days a week on multiple days, (Quarter 2: 5 dates, Quarter 3: 6 dates) Review of the facility licensed nurse payroll data for the dates listed on the PBJ revealed a licensed nurse on duty for 24 hours a day seven days a week. […]