Lindan Park Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Mar 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for one (Resident #3) of three residents reviewed for abuse. The facility failed to protect Resident #3 from physical abuse when CNA A force fed her on 03/03/25. The resident suffered psychosocial harm. On 03/20/25 at 1:00 PM, an Immediate Jeopardy (IJ) was identified. The IJ template was provided to the facility on [DATE] at 1:15 PM. While the IJ was removed on 03/20/25, the facility remained out of compliance at a scope of isolated and a severity level of potential for more than minimal harm due to the facility continuing to monitor the implementation and effectiveness of their Plan of Removal. […]

• Immediate jeopardy, isolatedF580Aug 25, 2023

  Based on interview and record review, the facility failed to notify the physician and resident representative regarding changes in condition for one (Resident #1) of seven residents reviewed for notification of changes. The facility failed to notify Resident #1's physician and resident representative 08/09/23 when he initially developed a wound which deteriorated to a Stage 4 and on 08/20/23 it deteriorated where it was unstageable with wound odor and bloody drainage. Resident #1 was transferred to the ER because of possible infection and need for surgical debridement. […]

• Immediate jeopardy, isolatedF686Aug 25, 2023

  Based on interview, and record review the facility failed to ensure residents received care consistent with professional standards of practice, to prevent pressure ulcers, to promote healing, prevent infection, and prevent new ulcers from developing for one (Resident #1) of seven residents reviewed for skin breakdown. The facility failed to ensure LVN A, who identified Resident #1's wound on 08/09/23, followed-up to notify his physician, and the facility did not get orders for treatment until 08/11/23. LVN D on 08/20/23 documented Resident #1's wound had an odor, bloody drainage and was unstageable. LVN D on 08/20/23 did not notify Resident #1's physician, DON, or resident representative when she noticed his wound had deteriorated. […]

• No harm, potential for more than minimal, widespreadF812Dec 14, 2022

  Based on observation, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure food was properly stored in the refrigerator, freezer, and dry storage. 2. The facility failed to ensure expired/spoiled foods were discarded. These failures could place residents at risk for food-borne illness. […]

• No harm, potential for more than minimal, widespreadF812Oct 11, 2021

  Based on observation, interview and record review the facility failed to Store, prepare, distribute and serve food in accordance with professional standards for food service safety for the facility's only kitchen. The facility failed to ensure opened food items in the freezer and pantry were labeled and dated. This failure could place residents at risk of consuming expired or spoiled food and getting food-borne illnesses. Findings Included: Observation of the facility's only freezer on [DATE] at 9:25 AMrevealed the following: - 1 - ,d+[DATE] of an unmarked clear plastic bag of approximately 20 battered chicken legs, opened and undated. - 1 - ,d+[DATE] of an unmarked clear plastic bag of approximately 8 fried chicken patties, opened and undated. […]