Inspection Reports for Summerset Lincoln

The inspection was conducted as a case management visit following an incident report received by the Department on October 13, 2025.

The Licensing Program Analyst found that resident R1 had fallen after pressing their wall cord. R1 was independent except for medication management and was currently hospitalized, with plans for reassessment before returning to the facility. No deficiencies were cited during the visit.

The visit was triggered by an incident report regarding resident R1's fall on October 11, 2025. The complaint was investigated and no deficiencies were cited.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2024-10-04 regarding insufficient staffing leading to severe falls and call buttons not being answered timely.

The investigation found both allegations to be unsubstantiated. Evidence showed that staff responded timely to call buttons and that falls were not due to lack of care or supervision by staff.

The complaint investigation addressed two allegations: 1) insufficient staffing led to severe falls, and 2) call buttons are not answered timely. Both allegations were found unsubstantiated after interviews, record reviews, and observations. The department concluded there was not a preponderance of evidence to prove the alleged violations occurred.

The inspection was an unannounced required 1-year annual inspection conducted by Licensing Program Analysts to evaluate the facility's compliance with regulations.

The facility was found to be clean, safe, sanitary, and in good condition. All required documents were present in resident and staff files, and no deficiencies were cited during the inspection.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not ensure residents' medication was administered as prescribed and that staff were falsifying medication administration records.

The investigation determined that the client did not reside at the facility and the complaint was made against the wrong facility. Therefore, the complaint was unfounded, and no deficiencies were cited during the visit.

The complaint was found to be unfounded after investigation. The allegation was false, could not have happened, and/or was without a reasonable basis.

Unannounced complaint investigation visit conducted in response to a complaint received on 2024-07-19 alleging staff mismanagement of a resident's medication.

The investigation substantiated the allegation that a resident received duplicate morning medications due to miscommunication between two medication technicians. The facility contacted poison control and relevant parties, monitored the resident hourly, and terminated the responsible staff member.

The complaint alleging staff mismanagement of resident's medication was substantiated based on evidence including interviews, medication lists, incident reports, and wellness checks. The facility was found responsible for administering duplicate medications to a resident.

The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2024-05-08 regarding allegations of medication dispensing and assistance with dressing at the facility.

The investigation found no evidence to support the allegations. Staff interviews and record reviews indicated that the resident was not refused pain medication or assistance with dressing. The allegations were determined to be unfounded.

The complaint alleged that facility staff did not dispense medications as prescribed and did not assist a resident with dressing. The investigation concluded these allegations were unfounded based on the preponderance of evidence standard.

An unannounced complaint investigation was conducted regarding an allegation that staff did not follow their emergency disaster plan during a city-wide power outage.

The investigation found that although the facility's portable generator was not functioning properly during the power outage, the facility took immediate corrective actions including renting a generator and following their Emergency and Disaster Plan. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not follow their emergency disaster plan. The investigation concluded the allegation was unsubstantiated.

The inspection was an unannounced annual inspection conducted to evaluate compliance with regulatory requirements for the assisted living facility.

The inspection found that all resident and staff files contained the required paperwork and training. The facility tour revealed no health or safety violations. No deficiencies were cited during this inspection.

The inspection was an unannounced complaint investigation visit conducted in response to complaints received on 09/11/2023 and 09/15/2023 regarding staff mismanagement of resident medication and delayed food delivery due to lack of staff.

The investigation substantiated the allegation that staff mismanaged a resident's medication, resulting in missed doses for several days. Another complaint regarding delayed food delivery was found to be unfounded as meal delivery times were not guaranteed and delays were temporary.

The complaint investigation was substantiated for medication mismanagement, with evidence showing a resident was out of medication for 3 to 5 days due to delayed reordering and missing physician signature. The complaint regarding delayed meal delivery was found to be unfounded.

The inspection visit was conducted to investigate a complaint alleging that a resident was charged for services not rendered.

The investigation substantiated that the facility did not credit the resident's account for three care days as required by the admission agreement, posing a potential health, safety, or personal rights risk. Other allegations regarding untimely light repair, cold food, call bell response, and billing issues were found unsubstantiated.

The complaint investigation was substantiated regarding the allegation that a resident was charged for services not rendered. Other allegations about light repair, food temperature, call bell response, and billing were unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2023-01-20 regarding staff response times to call buttons, supervision of fall-risk residents, assistance with transfers, and a resident being left on the floor for an extended time.

The investigation included interviews with staff, residents, and review of resident records. The allegations were found to be unsubstantiated as there was insufficient evidence to prove the violations occurred. Staff were found to respond timely to call buttons and provide appropriate supervision and assistance.

The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred despite the allegations possibly being valid.

The visit was conducted as the required annual unannounced inspection of the SummerSet Lincoln Assisted Living Facility.

The facility was found to be in substantial compliance with infection control protocols and no immediate health, safety, or personal rights violations were observed. No deficiencies were cited during this inspection.

An unannounced complaint investigation was conducted in response to allegations received on 07/15/2022 regarding odor in a resident's room, disturbing noise, flies in the dining room, locked facility door restricting resident entry, and delays in unlocking the door.

The investigation found no evidence to substantiate the allegations. No odor was present in the resident's room, no disturbing noise was detected, the dining room was clean with no flies observed, and the facility door locking procedures were explained as appropriate. The complaint was determined to be unsubstantiated.

The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

An unannounced complaint investigation was conducted in response to an allegation that staff were not wearing masks at the facility.

The investigation found that five staff members were not wearing masks, substantiating the complaint. Another allegation regarding inconsistent care was found unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for the allegation that staff were not wearing masks, meaning the allegation was valid based on the preponderance of evidence. Another complaint regarding inconsistent care was unsubstantiated due to lack of sufficient evidence.

The Licensing Program Analyst conducted an unannounced Required-1 Year Inspection focusing on the infection control domain as part of the annual inspection process.

The facility was found to be in substantial compliance with infection control requirements, with no immediate health, safety, or personal rights violations observed and no deficiencies cited.

The visit was conducted as a required annual unannounced inspection to evaluate the health and safety compliance of the assisted living facility.

The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited during this inspection.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2021-02-16 alleging insufficient staffing, unqualified staff dispensing medication, and medications not being reordered on time.

The investigation found all allegations to be unfounded after reviewing resident records, staff training, and conducting interviews with residents and staff. No deficiencies were cited.

The complaint alleged insufficient staffing to care for resident R1, unqualified staff dispensing medication, and medications not being reordered on time. The investigation found that R1 was appropriately monitored and cared for, staff were properly trained and certified to dispense medication, and residents reported no issues with medication delivery. The allegations were determined to be unfounded.

Unannounced complaint investigation visit conducted due to an allegation that a resident was left unattended by staff during an emergency.

The investigation found the allegation to be unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation occurred. No deficiencies were cited.

Allegation: Resident left unattended by staff during an emergency. The complaint was found unsubstantiated after review of staff interviews, training, and resident records.