Lincoln County Nursing & Rehab

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Ensure residents have reasonable access to and privacy in their use of communication methods.

Rule F0576. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Ensure services provided by the nursing facility meet professional standards of quality.

Rule F0658. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Provide enough food/fluids to maintain a resident’s health.

Rule F0692. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Provide care or services that was trauma informed and/or culturally competent.

Rule F0699. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Rule F0728. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Observe each nurse aide’s job performance and give regular training.

Rule F0730. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 29, 2026.

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2026.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 30, 2026.

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Rule F0744. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 28, 2025.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 3, 2025.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 3, 2025.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 22, 2024.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 22, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. H: actual harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide safe, appropriate pain management for a resident who requires such services.

Rule F0697. G: actual harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Rule F0742. G: actual harm. Correction date, as CMS recorded it: Jul 5, 2024.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Honor the resident’s right to organize and participate in resident/family groups in the facility.

Rule F0565. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Rule F0569. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Rule F0584. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Rule F0585. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Assess the resident when there is a significant change in condition

Rule F0637. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure services provided by the nursing facility meet professional standards of quality.

Rule F0658. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Rule F0678. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide activities to meet all resident’s needs.

Rule F0679. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure the activities program is directed by a qualified professional.

Rule F0680. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide appropriate foot care.

Rule F0687. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Rule F0688. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Rule F0700. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

Rule F0726. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Rule F0728. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Observe each nurse aide’s job performance and give regular training.

Rule F0730. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Rule F0756. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Rule F0758. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure that residents are free from significant medication errors.

Rule F0760. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Rule F0801. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 8, 2024.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Rule F0835. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Have a plan that describes the process for conducting QAPI and QAA activities.

Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Rule F0867. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Implement a program that monitors antibiotic use.

Rule F0881. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 14, 2024.

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Rule F0882. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Rule F0909. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Rule F0944. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Rule F0945. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Rule F0947. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Rule F0949. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Rule F0582. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Rule F0623. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Rule F0625. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Rule F0847. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 5, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 29, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 29, 2024.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Apr 29, 2024.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 29, 2024.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 29, 2024.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 29, 2024.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2024.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Rule F0727. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2024.