Inspection Reports for Lincoln Hills of New Albany

This visit was conducted for the investigation of complaints IN00457182 and IN00458627.

No deficiencies related to the allegations in complaints IN00457182 and IN00458627 were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00457182 - No deficiencies related to the allegation is cited. Complaint IN00458627 - No deficiencies related to the allegations are cited.

The visit was conducted as a paper compliance review of the Investigation of Complaint IN00452723 completed on February 27, 2025.

Lincoln Hills of New Albany was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper review of the complaint investigation. The complaint IN00452723 was corrected.

Complaint IN00452723 was investigated and found to be corrected as of the review date March 25, 2025.

This visit was for the Investigation of Complaint IN00454603.

No deficiencies related to the allegations were cited. The facility was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the complaint investigation.

Complaint IN00454603 - No deficiencies related to the allegations is cited.

This visit was conducted for the investigation of Complaints IN00452723 and IN00452878.

The facility was found deficient related to Complaint IN00452723 involving failure to ensure a timely plan of care for a resident's non-compliance with fall interventions, specifically the use of hipsters. Complaint IN00452878 had no deficiencies cited.

Complaint IN00452723 was substantiated with a Federal/State deficiency cited as F656. Complaint IN00452878 had no deficiencies related to the allegations.

A Post Survey Revisit (PSR) was conducted to the Emergency Preparedness Survey and the Life Safety Code Recertification and State Licensure Survey originally conducted on 10/16/24.

At this PSR Emergency Preparedness survey, the facility was found in compliance with Emergency Preparedness Requirements. At the PSR Life Safety Code survey, the facility was found in compliance with Requirements for Participation in Medicare/Medicaid and Life Safety Code standards.

This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey completed on September 30, 2024.

Lincoln Hills of New Albany was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Recertification and State Licensure Survey.

An Emergency Preparedness Survey and Life Safety Code Recertification and State Licensure Survey were conducted by the Indiana Department of Health on October 16, 2024, to assess compliance with emergency preparedness and life safety requirements.

The facility was found not in compliance with Emergency Preparedness Requirements and Life Safety Code standards, including issues with emergency power system maintenance, fire door latching, sprinkler system obstructions and maintenance, corridor door latching, combustible decorations on resident room doors, and fire drill timing. Corrective actions and plans of correction were submitted with a completion date of October 31, 2024.

This visit was for a Recertification and State Licensure Survey, including the Investigation of Complaints IN00443610 and IN00443867.

The facility was found to have deficiencies related to resident council grievance resolution, mail delivery on Saturdays, pressure ulcer care resulting in a Stage 4 pressure ulcer for one resident, failure to complete hot liquid assessments for a resident with functional decline, and narcotic documentation discrepancies for six residents.

Complaint IN00443610 and IN00443867 were investigated with no deficiencies related to the allegations cited.

This visit was conducted for the investigation of complaints IN00436489 and IN00437866.

No deficiencies related to the allegations in complaints IN00436489 and IN00437866 were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00436489 - No deficiencies related to the allegations are cited. Complaint IN00437866 - No deficiencies related to the allegations are cited.

This visit was conducted for the investigation of Complaint IN00430939.

No deficiencies related to the complaint allegation were cited. The facility was found to be in compliance with applicable regulations.

Investigation of Complaint IN00430939 found no deficiencies related to the allegation.

This visit was conducted for the investigation of Complaint IN00425363.

No deficiencies related to the allegations in Complaint IN00425363 were cited. The facility was found to be in compliance with applicable regulations.

Complaint IN00425363 was investigated and found to have no deficiencies related to the allegations.

Paper compliance review to the Investigation of Complaint IN00422843 completed on December 18, 2023.

Lincoln Hills of New Albany was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 regarding the paper compliance review to the complaint investigation.

Investigation of Complaint IN00422843 completed on December 18, 2023; paper compliance review found facility in compliance.

This visit was conducted for the investigation of complaints IN00422843 and IN00424143 at Lincoln Hills of New Albany.

The facility failed to ensure appropriate interventions, supervision, and care for a resident with dementia-related behaviors. Resident B exhibited multiple behavioral issues including wandering into other residents' rooms, removing his colostomy bag, sexually inappropriate behaviors, verbal and physical aggression, and difficulty with redirection. The care plans lacked sufficient updates and specific interventions to manage these behaviors effectively. Staff monitoring and supervision were inconsistent, and the facility did not implement increased monitoring despite the resident's ongoing behaviors.

Complaint IN00422843 was substantiated with a federal/state deficiency cited at F0744 related to the allegations. Complaint IN00424143 had no deficiencies related to the allegations.

An investigation of Complaint Number IN00420897 was conducted by the Indiana Department of Health in conjunction with a Post Survey Revisit to the Life Safety Code Recertification and State Licensure Survey.

The facility was found in substantial compliance with Medicare/Medicaid participation requirements and Life Safety Code. However, the facility failed to ensure that one fire drill report during the past month included complete documentation of the transmission of the fire alarm signal to the monitoring company/fire department.

Complaint Number IN00420897 was investigated and a Federal/State deficiency related to the allegation was cited at K712.

A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 09/27/23 was conducted in conjunction with the investigation of Complaint #IN00420897.

At this PSR to the Life Safety Code survey, Lincoln Hills of New Albany was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code (LSC), Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2. The facility was fully sprinklered except for detached wooden storage structures.

Investigation of Complaint #IN00420897 was conducted in conjunction with the survey.

This visit was conducted for the investigation of complaints IN00419590, IN00420393, and IN00420490 at Lincoln Hills of New Albany.

No deficiencies related to the allegations in complaints IN00419590, IN00420393, and IN00420490 were cited. The facility was found to be in compliance with relevant regulations.

Complaints IN00419590, IN00420393, and IN00420490 were investigated and found to have no deficiencies related to the allegations.

This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey completed on August 29, 2023.

Lincoln Hills of New Albany was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Recertification and State Licensure Survey.

Life Safety Code Recertification and Emergency Preparedness Survey conducted by the Indiana Department of Health on September 27, 2023.

The facility was found not in compliance with Life Safety Code requirements including issues with egress doors, smoke barrier doors, exit discharge surfaces, illumination of means of egress, fire alarm system installation and maintenance, sprinkler system installation and maintenance, portable fire extinguishers, and electrical safety. The facility submitted plans of correction for all deficiencies.

This visit was for a Recertification and State Licensure Survey conducted on August 23, 24, 25, 28 and 29, 2023.

The facility was found deficient in multiple areas including failure to notify physicians of significant changes in residents' conditions such as out-of-range blood sugar readings and dialysis weight gains, failure to implement fall prevention interventions, improper perineal care infection control practices, and inadequate pain management interventions.

The visit included a Complaint Survey conducted on August 29, 2023, related to allegations of noncompliance, with a Plan of Correction submitted alleging substantial compliance by September 13, 2023.

This visit was for the Post Survey Revisit (PSR) to the Investigation of Complaint IN00412136 completed on July 10, 2023, and was conducted in conjunction with the PSR for unrelated deficiencies cited during investigations of Complaints IN00404123 and IN00407228 completed on June 9, 2023.

Lincoln Hills of New Albany was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Investigation of Complaint IN00412136. Both the complaint and unrelated deficiencies were corrected.

Complaint IN00412136 was investigated and found corrected.

This visit was for the Post Survey Revisit (PSR) for the unrelated deficiency cited during the investigation of Complaints IN00404123 and IN00407228 completed on June 9, 2023, and was in conjunction with the PSR to the Investigation of Complaint IN00412136 completed on July 10, 2023.

Lincoln Hills of New Albany was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Unrelated Deficiency and the Investigation of Complaints IN00404123, IN00407228, and IN00412136.

This visit was related to complaints IN00404123, IN00407228, and IN00412136. The unrelated deficiency and complaint issues were corrected.

This visit was for the investigation of Complaint IN00412136 regarding allegations of substandard quality of care and immediate jeopardy at Lincoln Hills of New Albany.

The facility failed to ensure prompt physician notification of a resident's change in condition, failed to meet professional standards of care related to implementation of physician orders and provision of medically necessary emergent care, and failed to provide appropriate care and monitoring for a resident with respiratory failure and hypercapnia, resulting in the resident's death. Immediate Jeopardy was identified and later removed after corrective actions were implemented.

Complaint IN00412136 triggered the investigation. The complaint involved allegations of substandard quality of care and immediate jeopardy related to failure in physician notification, professional standards of care, and quality of care resulting in a resident's death.

This visit was for the investigation of Complaints IN00404123 and IN00407228. No deficiencies related to the allegations were cited, but an unrelated deficiency was identified.

The facility failed to ensure a hot liquid assessment was completed for a resident with a decline in function, resulting in a burn injury from spilled coffee. The resident required a no-spill cup and increased supervision. The facility implemented corrective actions including observation during meal service and referrals to occupational therapy.

Complaint IN00404123 and IN00407228 were investigated with no deficiencies related to the allegations cited. The deficiency found was unrelated to the complaints.

A Post Survey Revisit (PSR) to the Life Safety Code Recertification and State Licensure Survey conducted on 08/29/22 was performed to verify compliance with fire safety and licensure requirements.

At this PSR survey, Lincoln Hills of New Albany was found in compliance with Requirements for Participation in Medicare/Medicaid, Life Safety from Fire, and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code (LSC), Chapter 19, Existing Health Care Occupancies and 410 IAC 16.2. The facility was fully sprinklered except for detached wooden storage structures.

This visit was conducted for the investigation of three complaints (IN00391638, IN00389798, and IN00387110) related to the facility.

The facility was found to have failed to obtain a physician's order and ensure safe usage of warm compresses, resulting in second-degree burns to one resident's back. The resident developed blisters and subsequent complications including sepsis. The facility took immediate corrective actions including re-education of staff and disciplinary action for the nurse involved.

Complaint IN00391638 was substantiated with a related federal/state deficiency cited at F689. Complaints IN00389798 and IN00387110 were substantiated but no deficiencies related to those allegations were cited.

This visit was a Post Survey Revisit (PSR) to the Recertification and State Licensure Survey and investigation of Complaint IN00383068 completed on July 29, 2022.

Lincoln Hills of New Albany was found to be in compliance with 42 CFR Part 483, Subpart B and 410 IAC 16.2-3.1 in regard to the PSR to the Recertification and State Licensure Survey and investigation of Complaint IN00383068.

Complaint IN00383068 - Corrected

A Life Safety Code Recertification and State Licensure Survey was conducted by the Indiana Department of Health in accordance with 42 CFR 483.90(a) and the 2012 edition of the National Fire Protection Association (NFPA) 101, Life Safety Code.

The facility was found not in compliance with several Life Safety Code requirements including maintenance of kitchen range hood extinguishing system, sprinkler system maintenance, sprinkler head cleanliness and ceiling integrity, corridor door functionality, smoke barrier wall protection, and ground fault circuit interrupter (GFCI) protection in wet locations.

This visit was for a Recertification and State Licensure Survey, including the Investigation of Complaints IN00378436 and IN00383068.

The facility was found to have deficiencies related to fall interventions, catheter care, nutrition/hydration monitoring, respiratory care, and behavioral health services. Specific issues included failure to implement safe transfer procedures resulting in resident injuries, improper catheter care, failure to follow physician orders for daily weights, inadequate oxygen concentrator maintenance, and incomplete behavioral care planning for resident aggression.

Complaint IN00378436 was substantiated with no deficiencies cited. Complaint IN00383068 was substantiated with a Federal/State deficiency cited at F689 related to the allegations.