Inspection Reports for Lincoln Court Assisted & Senior Living

850 Lincoln Dr, Idaho Falls, ID 83401, ID, 83401

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Deficiencies per Year

8 6 4 2 0
2021
2024
Unclassified
Inspection Report Follow-Up Deficiencies: 2 Oct 10, 2024
Visit Reason
The inspection was conducted as a health care licensure and follow-up survey to evaluate compliance with regulatory requirements.
Findings
The facility failed to evaluate multiple residents' maladaptive behaviors and had insufficient personnel with current first aid certification, as confirmed by the administrator and business office manager.
Deficiencies (2)
Description
The facility did not evaluate Resident #2's behavior of scratching causing wounds, Resident #3's refusals and aggression, Resident #4's refusals and requests for cigarettes, Resident #7's refusals of care and medications, Resident #8's excessive call button use and manipulation, and Resident #9's hallucinations interfering with care.
Eight of ten sampled direct care staff did not have current first aid certification, and multiple shifts in October 2024 lacked at least one direct care staff with first aid certification.
Report Facts
Direct care staff without current first aid certification: 8 Survey date: Oct 10, 2024
Employees Mentioned
NameTitleContext
Ashley YarringtonAdministratorConfirmed lack of behavior evaluations and staff certifications
Michael OldfieldSurvey Team LeaderLed the health care licensure and follow-up survey
Inspection Report Life Safety Deficiencies: 3 Oct 9, 2024
Visit Reason
The inspection was conducted as a fire life safety and sanitation licensure survey of the Lincoln Court Retirement Community.
Findings
The inspection identified multiple violations related to prohibited electrical installations and equipment, including the use of multi-plug adapters, extension cords, and relocatable power taps supplying power to medical devices and appliances.
Deficiencies (3)
Description
Multiple devices in rooms #211 and #189 powered by prohibited multi-plug adapters; extension cord daisy-chained in main dining room supplying power to holiday décor.
Portable oxygen concentrator and CPAP machine in room #245 powered by a relocatable power tap, which is prohibited.
Miniature refrigerator in upper-level nurses office powered by a relocatable power tap, which is prohibited.
Employees Mentioned
NameTitleContext
Ashley YarringtonAdministratorNamed as facility administrator in the report header.
Jeremy WilsonSurvey Team LeaderNamed as survey team leader conducting the fire life safety and sanitation licensure survey.
Inspection Report Follow-Up Deficiencies: 3 Nov 19, 2021
Visit Reason
The inspection was a health care licensure and follow-up survey conducted to assess compliance with regulatory requirements and verify correction of previous deficiencies.
Findings
The facility failed to notify Adult Protection and law enforcement of an incident involving inappropriate touching, did not maintain proper medication refrigerator temperatures consistently, and had inadequate documentation practices in resident care records, including inconsistent recording of communications and medication administration.
Deficiencies (3)
Description
Failure to notify Adult Protection and law enforcement of an incident involving inappropriate touching of a resident.
Medication refrigerator temperatures were not maintained within required ranges on multiple occasions.
Inadequate documentation in resident care records, including failure to document calls, medication administration, and resident issues consistently.
Report Facts
Medication refrigerator temperature failures: 16 Medication refrigerator temperature failures: 4
Inspection Report Life Safety Deficiencies: 8 Mar 17, 2021
Visit Reason
A Fire Life Safety Survey was conducted at Lincoln Court Retirement Community to assess compliance with fire and life safety standards.
Findings
The facility was found to be providing a safe environment for residents; however, several non-core issue deficiencies were identified related to staff training documentation, inspection records for fire safety equipment, signage on delayed egress doors, relocation agreements, safety barriers on gas fireplaces, and oxygen cylinder storage and labeling.
Deficiencies (8)
Description
Facility could not produce documentation for staff training at time of hire and annually on oxygen use and handling.
Facility lacked documentation for testing/inspection of Alcohol Based Hand Rub dispensers each time they are refilled.
Facility lacked documentation for weekly visual inspections of dry suppression system gauges, monthly inspections of wet suppression system gauges, and monthly checks of control valves on suppression systems.
Memory care unit exit doors with delayed egress components lacked required signage indicating delayed egress.
Directional exit sign at main entrance to memory care unit was partially obstructed by a door held open by a magnetic hold open device.
Facility had only one relocation agreement instead of the required two, and the agreement had not been updated since 2018.
Facility gas fireplaces were not equipped with a safety barrier.
Oxygen storage room had full and empty cylinders not segregated; empty cylinders were not marked 'empty' to avoid confusion.
Report Facts
Response Due Date: Apr 16, 2021 Number of relocation agreements required: 2 Number of relocation agreements present: 1
Employees Mentioned
NameTitleContext
Matthew JohnsonAdministratorNamed as facility administrator
Linda ChaneySurvey Team LeaderLed the fire life safety and sanitation licensure survey
Sam BurbankSupervisor, Facility Fire Safety & Construction ProgramSigned the report letter

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