Inspection Reports for Lincoln Court Assisted & Senior Living
850 Lincoln Dr, Idaho Falls, ID 83401, ID, 83401
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 10, 2024, identified deficiencies related to the evaluation of residents’ maladaptive behaviors and insufficient direct care staff with current first aid certification. Earlier inspections showed a mix of issues including fire and life safety violations such as prohibited electrical equipment use, documentation gaps in resident care, and incomplete staff training records. Inspectors cited recurring themes around staff training and certification, resident care documentation, and safety compliance with equipment and environmental standards. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports, and no substantiated complaints were noted. The inspection history reflects ongoing challenges with regulatory compliance, with recent findings continuing some prior patterns rather than showing clear improvement.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
1% worse than Idaho average
Idaho average: 7.9 deficiencies/yearDeficiencies per year
8
6
4
2
0
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
| Name | Title | Context |
|---|---|---|
| Ashley Yarrington | Administrator | Confirmed lack of behavior evaluations and staff certifications |
| Michael Oldfield | Survey Team Leader | Led 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
| Name | Title | Context |
|---|---|---|
| Ashley Yarrington | Administrator | Named as facility administrator in the report header. |
| Jeremy Wilson | Survey Team Leader | Named 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
| Name | Title | Context |
|---|---|---|
| Matthew Johnson | Administrator | Named as facility administrator |
| Linda Chaney | Survey Team Leader | Led the fire life safety and sanitation licensure survey |
| Sam Burbank | Supervisor, Facility Fire Safety & Construction Program | Signed the report letter |
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