Inspection Reports for
Lincoln Community Care Center
205 TIMBERLINE DR, LINCOLN, MO, 65338-2007
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
83% occupied
Based on a June 2024 inspection.
Occupancy rate over time
Inspection Report
Census: 55
Deficiencies: 5
Date: Jun 20, 2024
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident funds refunds, care plan completeness, neurological assessments after falls, medication administration, activity programming, and bed safety entrapment assessments.
Findings
The facility was found deficient in multiple areas including failure to refund resident funds within 30 days of discharge for 17 residents, incomplete care plans lacking fall interventions and side rail documentation, failure to perform neurological assessments after unwitnessed falls for two residents, lack of physician orders for self-administration of eye drops for two residents, inadequate weekend activity programming for three residents, and incomplete entrapment assessments for four residents using side rails.
Deficiencies (5)
Failed to refund resident funds within 30 days of discharge for 17 residents.
Failed to ensure care plans were reviewed and revised to include appropriate fall interventions for six residents and failed to ensure care plans reflected the use of side rails for one resident.
Failed to complete neurological assessments after unwitnessed falls for two residents and failed to get physician orders to self-administer eye drops for two residents.
Failed to provide an ongoing program of activities designed to meet three residents' interests on the weekends.
Failed to complete entrapment assessments for four residents who use side rails to ensure safety and prevent accident hazards.
Report Facts
Residents affected: 17
Facility census: 55
Residents sampled: 41
Residents sampled: 8
Residents sampled: 14
Residents sampled: 14
Residents sampled: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager | Interviewed regarding resident funds refund and aging reports | |
| Administrator | Interviewed regarding resident funds refund, care plans, neurological assessments, medication administration, activity programming, and entrapment assessments | |
| RN A | Registered Nurse | Interviewed regarding care plans, neurological assessments, and medication administration |
| DON/MDS Coordinator | Interviewed regarding care plans, neurological assessments, medication administration, activity programming, and entrapment assessments | |
| CMT D | Certified Medication Technician | Interviewed regarding medication self-administration |
| CNA B | Certified Nurses Aide | Interviewed regarding weekend activities |
| Activity Director | Interviewed regarding weekend activities | |
| Maintenance Director | Interviewed regarding entrapment assessments |
Inspection Report
Complaint Investigation
Census: 50
Deficiencies: 1
Date: Oct 3, 2023
Visit Reason
The inspection was conducted due to concerns about the facility's failure to maintain an infection prevention and control program, specifically related to COVID-19 infection control practices and resident placement.
Complaint Details
The visit was complaint-related due to failure to follow infection control practices for COVID-19, including improper rooming of COVID-19 positive and negative residents and failure to notify families. Immediate jeopardy was identified starting 2023-09-23 and removed on 2023-09-30.
Findings
The facility failed to separate residents who tested positive for COVID-19 from those who tested negative, placing residents at increased risk of infection. Staff did not notify families of positive cases, and housekeeping staff shortages and lack of knowledge about deep cleaning procedures contributed to the issue. Immediate jeopardy was identified but later removed after corrective actions were implemented.
Deficiencies (1)
Failure to maintain an infection prevention and control program to prevent the spread of COVID-19, including improper cohorting of COVID-19 positive and negative residents.
Report Facts
Facility census: 50
COVID-19 positive residents: 4
COVID-19 negative residents: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Notified of immediate jeopardy and provided explanations about resident placement and staffing issues | |
| Assistant Administrator | Provided information about housekeeping staff shortages and deep cleaning procedures | |
| Licensed Practical Nurse (LPN) A | Reported on resident COVID-19 status and room sharing |
Inspection Report
Routine
Census: 48
Deficiencies: 5
Date: Mar 29, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident fund security, care planning, food safety, hand hygiene, and dishwashing procedures at Lincoln Community Care Center.
Findings
The facility failed to maintain a sufficient surety bond for resident funds, did not develop comprehensive care plans for several residents, and had multiple food safety violations including improper food storage, reuse of single-service containers, and failure to perform proper hand hygiene. Additionally, sanitized dishes were not allowed to air dry before storage.
Deficiencies (5)
Failed to purchase a surety bond in an amount sufficient to assure security of all resident funds the facility holds.
Failed to develop and implement a comprehensive person-centered care plan for four residents, lacking measurable timetables and interventions for dental care, pressure ulcer prevention, falls, and antipsychotic medication use.
Failed to store food properly to prevent contamination and out-dated use, including storing food on the floor, unlabeled and undated opened food items, reuse of single-service containers, and improper storage of raw foods above ready-to-eat foods.
Failed to perform hand hygiene as often as necessary using approved techniques, including improper glove use and inadequate handwashing duration.
Failed to allow sanitized dishes to air dry prior to stacking and storage, leading to potential growth of food-borne pathogens and cross-contamination.
Report Facts
Facility census: 48
Average monthly resident trust fund balance: 43373.99
Required surety bond amount: 64500
Current ledger amount: 49567.63
Escrow Agreement Account amount: 60000
Number of residents with deficient care plans: 4
Number of Haldol administrations documented: 7
Dates of opened food items found expired or undated: Multiple food items with expired or missing dates observed
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Business Office Manager (BOM) | Responsible for ensuring surety bond sufficiency and food storage monitoring | |
| Social Services Designee (SSD) | Responsible for making dental appointments and resident communication | |
| MDS Coordinator | Responsible for completing and updating care plans | |
| LPN M | Licensed Practical Nurse | Provided information on care plan expectations and interventions |
| Director of Nursing (DON) | Oversight of care plan updates and staff communication | |
| Dietary Manager (DM) | Responsible for monitoring food storage, hand hygiene, and dishwashing procedures | |
| DA C | Dietary Aide | Observed failing to perform proper hand hygiene and dishwashing procedures |
| DA H | Dietary Aide | Observed performing hand hygiene inconsistently and improper dishwashing practices |
| [NAME] A | Cook | Observed improper handwashing and glove use |
| [NAME] D | Cook | Observed improper handwashing and glove use |
Inspection Report
Routine
Census: 56
Deficiencies: 6
Date: Nov 20, 2020
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident fund security, posting of state agency contact information, professional standards of care, medication storage and labeling, nurse staffing information posting, and food safety and sanitation practices.
Findings
The facility was found deficient in multiple areas including failure to maintain sufficient surety bond for resident funds, failure to post required hotline information, failure to complete neurological assessments after resident falls, failure to document and notify physician of skin conditions, inaccurate nurse staffing postings, improper medication storage and labeling, and unsafe food handling and sanitation practices.
Deficiencies (6)
Facility staff failed to purchase a surety bond in an amount sufficient to assure security of all resident funds the facility holds.
Facility failed to post the required telephone number to the Department of Health and Senior Services hotline and State Survey Agency contact information in a prominent and accessible location.
Staff failed to complete required neurological assessments following unwitnessed falls and falls with head injury for multiple residents, and failed to document assessments of pressure ulcers, blisters, and cellulitis or notify physicians accordingly.
Facility staff failed to accurately post nurse staffing information including number of certified nursing assistants and their hours worked, and failed to post staffing data in a location accessible to residents and visitors.
Facility staff failed to store and label medications properly, including use of undated and expired medications, and failure to label opened medications with date opened.
Facility failed to store food safely and sanitary, including undated and expired food items, failure to thaw food properly, failure to perform hand hygiene between tasks, and failure to allow sanitized kitchenware to air dry before stacking.
Report Facts
Facility census: 56
Resident trust fund average monthly balance: 29267.14
Required surety bond amount: 43500
Current ledger amount: 53138.91
Number of residents affected by neurological assessment deficiencies: 5
Number of CNAs scheduled vs worked: Discrepancies noted in staffing reports and schedules for November 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN A | Registered Nurse | Provided details on neurological assessment procedures and deficiencies |
| CNA C | Certified Nursing Assistant | Provided information on hotline posting and fall reporting |
| Administrator | Responsible for bond sufficiency and nurse staffing postings | |
| Business Office Manager | BOM | Interviewed regarding surety bond responsibility |
| Social Service Designee | SSD | Unaware of hotline posting requirements |
| DON | Director of Nursing | Provided information on neurological assessment expectations and medication labeling |
| RN B | Registered Nurse | Involved in resident skin assessments and medication observations |
| ADON | Assistant Director of Nursing | Informed about resident blister and physician notification |
| DM | Dietary Manager | Provided information on food safety and sanitation deficiencies |
| DA E | Dietary Aide | Observed failing to change gloves and perform hand hygiene |
| DA H | Dietary Aide | Observed failing to perform hand hygiene before handling food |
| CMT D | Certified Medication Technician | Provided information on medication labeling and disposal |
| [NAME] F | Dietary Staff | Observed stirring food with bare hands and improper food handling |
| [NAME] G | Dietary Staff | Observed failing to change gloves and perform hand hygiene |
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