Lincolnton Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF550Apr 13, 2024

  Based on record review and resident and staff interviews the facility failed to treat a resident in a dignified manner by not providing incontinent care when requested for 1 of 3 residents reviewed for dignity (Resident #80). Resident #80 stated it made her upset to sit in a soiled brief and made her feel like a third-class citizen and she paid her bill like everyone else. The Findings included: Resident #80 was admitted to the facility on [DATE] with diagnoses of diabetes mellitus and hypertension. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #80 was cognitively intact, required extensive assistance with toileting, and was always incontinent of bladder and bowel. No refusal of care was noted during the assessment reference period. […]

• Actual harm, isolatedF624Apr 13, 2024

  Based on record review and resident, Resident Representative,staff, Infusion Center staff, Nurse Practitioner, and Medical Director interviews the facility failed to provide a safe and orderly discharge for 1 of 3 residents (Resident #1). On 8/28/23 Resident #1 had a scheduled medical appointment and prior to the appointment the resident's belongings were packed by staff and were sent with him to the appointment. Resident #1 was not provided with discharge paperwork or discharge instructions and did not understand what was happening. The discharge location was not verified, home health services were not ordered at the time of discharge, and the resident was not followed up with to ensure his needs were met. […]

• Actual harm, isolatedF626Apr 13, 2024

  Based on record review and resident, Resident Representative,staff, Infusion Center staff, Nurse Practitioner, and Medical Director interviews the facility failed to permit a resident to return to the facility from therapeutic leave for 1 of 3 residents (Resident #1). On 8/28/23 Resident #1 had a scheduled medical appointment and prior to the appointment the resident's belongings were packed by staff and were sent with him to the appointment. Resident #1 was not allowed to return to the facility following the appointment. […]

• Actual harm, isolatedF677Apr 13, 2024

  Based on observations, record review, and resident and staff interview the facility failed to provide incontinence care when requested for 2 of 3 residents reviewed for activities of daily living care (Resident #53 and Resident #80). Resident #53 was noted to have a new open area to the right buttocks when incontinence care was provided, and Resident #53 reported the area was sore. Findings included: 1. Resident #53 was admitted to the facility on [DATE] with diagnoses of hip fracture and diabetes mellitus. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #53 was cognitively intact, required extensive assistance with toileting, and was always incontinent of bladder and bowel. No refusal of care was noted during the assessment reference period. […]

• No harm, potential for more than minimal, patternF812Aug 27, 2026

  Based on observation and staff interviews, the facility failed to remove expired food stored for use in the walk-in cooler and dry goods storage room, failed to ensure leftover food was dated, maintain a clean ice machine and ensure lights were free of dust. These practices had the potential to affect food served to residents. The findings included:a. An initial observation of the kitchen was completed with the Assistant Dietary Manager on 8/24/2026 at 10:45AM. The following was observed in the walk-in cooler: -One 4 lb container of pimento cheese labeled with an open date of 8/13/2026 and a use by date of 8/20/2026.-One 1 gallon container of Italian dressing opened without a labeled open date or use by date. There was no expiration date visible. […]