Wake Robin-Linden Nursing Home

In the surveyor’s words

From the most serious findings on record at Wake Robin-Linden Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF578Jan 21, 2026

  Based on observation, interview and record review the facility failed to ensure one of fourteen sampled residents (Resident #6) medical record clearly communicated the resident's choice of code status to staff responsible for the resident's care. Findings include:Per record review, Resident #6 has a COLST (Clinician Orders for Life-Sustaining Treatment) dated [DATE] which states Resident #6 is a DNR (do not resuscitate) and that CPR (cardiopulmonary resuscitation, an emergency technique to restart breathing) should not be attempted, but that s/he might have a natural death. The Resident does not want to be intubated or ventilated, and s/he wishes treatment needed for comfort. Patient prefers no transfer to hospital for life-sustaining treatments. […]

• No harm, potential for more than minimal, isolatedF678Jun 22, 2022

  Based on observation, record review, and staff interviews, the facility failed to have appropriate policies directing staff when to initiate basic life support by not ensuring documentation of a resident and their representative's choice to have emergency basic life support immediately when needed for one of twelve sampled residents (Resident #2). Findings include: Per review of Resident #2's physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility policy CPR (Cardiopulmonary Resuscitation) states: In the event of a cardiac or pulmonary arrest, Wake [NAME] provides CPR according to physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF842Jun 22, 2022

  Based on staff interview and record review the facility failed to ensure resident allergies were consistently identified throughout the resident's medical record for one of three residents sampled (Resident #6). Findings include: Per record review Resident #6's Physicians Orders lists allergies of raw apples, raw pitted fruit, and Aleve. These allergies are also listed in the resident's medication administration record. Per the Guidelines for Daily Care (tool used to inform Licensed Nursing Assistants (LNAs) of each resident's specific care needs) lists Allergies as Raw Apples, Raw Pitted Fruits, Aleve Review of Resident #6's care plan date 4/11/2022 reflects that she/he may need an epi [[MEDICATION(S)]] pen may have life threatening allergic reaction to peanuts and hazelnuts or pitted… […]

• No harm, potential for minimal, widespreadF730Aug 2, 2023

  Based on staff interview and record review, the facility failed to complete a performance review at least once every 12 months for every Licensed Nurse Assistant (LNA) and then must provide regular in-service education based on the outcome of these reviews for 5 of 5 LNA's in the sample. Findings include: During review of a random selection of 5 employee personnel files, 5 of 5 LNA files reviewed did not have evidence of annual performance review within the last 12 months. Per interview on 8/1/23 at 11:00AM, the Administrator confirmed that the facility had not conducted the required performance reviews for the LNA's.