Inspection Reports for Lincoln Crawford Care Center

This deficiency represents non-compliance investigated under Complaint Number 1348402 (OH00167337) and 1348400 (OH00166666).

The facility failed to maintain one of two shower rooms in a clean condition, with observations of cotton pieces on the floor, grime on tiles, broken shower chair, dirty shower bench, clogged drains with hair, feces in a toilet without privacy curtain, rust-colored sink stains, and standing water on the floor. Interviews with the Administrator, Housekeeping Director, and Director of Nursing confirmed these issues and responsibilities for cleaning.

The complaint investigation involved allegations of failure to provide Medicare beneficiary notices, failure to maintain clean shower rooms, failure to protect residents from abuse, failure to implement abuse prevention policies, failure to timely report abuse, failure to investigate abuse allegations thoroughly, failure to provide adequate smoking supervision, and failure to provide proper care for residents' activities of daily living. Substantiation status is not explicitly stated but multiple deficiencies were cited.

The facility failed to provide a Skilled Nursing Facility Advance Beneficiary Notice to a resident, maintain clean shower rooms, protect residents from physical and mental abuse by other residents, implement abuse prevention policies, timely report abuse incidents, thoroughly investigate abuse allegations, supervise residents during smoking, and provide proper nail care for a dependent resident. Multiple residents were involved in abuse incidents, and the facility's investigation and response were inadequate. Smoking policies were not consistently enforced, and residents were found with unauthorized smoking materials. One resident had long, dirty fingernails despite care plans and policies.

This deficiency represents non-compliance investigated under Complaint Number OH00156603 for dignified treatment and Complaint Number OH00156403 for wound care and infection control.

The facility failed to treat one resident in a dignified manner, as a dietician made an inappropriate comment. Additionally, the facility failed to ensure wound care was completed as ordered and did not implement proper infection prevention and control practices during wound care for another resident.

This deficiency represents non-compliance investigated under Complaint Number OH00152397.

The facility failed to provide appropriate catheter and incontinence care for Resident #45, including improper glove use and inadequate cleaning of the catheter and perineal area, which did not comply with the facility's policies. This deficiency was found to have minimal harm or potential for actual harm and affected a few residents.

The facility was found deficient in accurately updating pre-admission screening and resident review (PASARR) after diagnosis changes, completing regular quarterly care conferences for residents, and maintaining a safe, clean, and homelike environment. These deficiencies affected a few residents and were associated with minimal harm or potential for actual harm.

This deficiency represents non-compliance investigated under Complaint Number OH00148171.

The facility failed to ensure medications administered intravenously were obtained from a properly licensed source, affecting multiple residents. The unlicensed provider, Agency #700, was found to lack the required Ohio TDDD license. The facility ceased using the provider's services and implemented corrective actions including education and credential reviews.

The facility failed to store respiratory equipment in a clean and sanitary manner, affecting one resident reviewed for respiratory care. Observations and staff interviews confirmed respiratory tubing was improperly stored, contrary to facility policy.