Deficiencies per Year
4
3
2
1
0
High
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Biennial Survey
Census: 38
Capacity: 35
Deficiencies: 3
May 19, 2025
Visit Reason
The inspection was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs and Infection Prevention and Control at The Lincoln Home Assisted Living Program.
Findings
The facility was found not in compliance with medication administration procedures, documentation of medication errors, and service plan requirements. Specifically, one consumer did not receive medications as ordered, medication errors were not documented in incident reports, and service plans were not signed or updated as required.
Severity Breakdown
Class II: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| One of four consumers was not administered medications as ordered, missing two doses of Tobradex eye drops on 5/9/2025. | — |
| Medication errors, including errors of omission, were not recorded in incident reports in the consumer's record. | Class II |
| Four of four consumers did not have service plans signed by the consumer or legal representative, and one service plan was not revised when changes occurred. | — |
Report Facts
Census: 38
Total Capacity: 35
Medication doses missed: 2
Consumers reviewed for service plans: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lorrie Winslow | Administrator | Named in relation to review of findings and exit meeting |
Inspection Report
Biennial Survey
Census: 28
Capacity: 28
Deficiencies: 1
May 16, 2023
Visit Reason
The visit was a biennial survey to assess compliance with the Regulations Governing the Licensing and Functioning of Assisted Housing Programs for The Lincoln Home Assisted Living Program.
Findings
The facility was found not in compliance due to deficiencies in employee records, specifically two of four employee records lacked results of annual personnel evaluations.
Deficiencies (1)
| Description |
|---|
| Two of four employee records failed to include results of annual personnel evaluations (Employee #3 and Employee #4). |
Report Facts
Employee records reviewed: 4
Employee records deficient: 2
Most recent personnel evaluation year: 2018
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