Aperion Care Lincoln: Wound Treatment Skipped - IN
The resident's physician had ordered the wound vacuum to be changed every three days starting August 8....
Latest reports, citations, and penalties from CMS data
The resident's physician had ordered the wound vacuum to be changed every three days starting August 8....
The resident, identified as Resident #2 in inspection records, was discovered missing on August 23....
Staff would offer to reheat his food, but he didn't want reheated meals....
Instead, physicians ordered full resuscitation protocols....
The September 25 complaint inspection revealed a pattern of superficial abuse investigations that failed to meet regulatory requirements....
Federal inspectors found the respiratory care failures during a September complaint investigation at Pelican Ridge Post Acute on Flagship Road....
The most disturbing discoveries came in areas where vulnerable residents bathe and spend their days....
The problems persisted for over a week....
Federal inspectors discovered the violation during a September complaint investigation at Putnam Center, a 119-bed facility on Seville Road....
Federal inspectors discovered the gap during a September complaint investigation at the 41-bed facility on East Main Street....
The wound was clearly documented on his admission paperwork, with hospital transfer orders specifically instructing staff to follow wound care protocols....
The thin tubes, inserted directly into the stomach to deliver nutrition and medications, require daily cleaning and dressing changes to prevent complications....
Federal inspectors discovered the practice was routine....
Resident 15 needed to be changed after soiling himself....
She told administrators she planned to return later but never did....
Federal inspectors found the facility failed to train either housekeeping worker since they were hired....
Resident #36 arrived at Oak Grove Manor with chronic ischemic heart disease and acute diastolic congestive heart failure....
Federal inspectors observed the resident on two separate days in September, finding the same neglected condition both times....
The incident at Autumn Lake Healthcare at Crofton was witnessed by another staff member who watched the entire confrontation unfold on February 28, 2025....
When questioned during the violation, the nurse confirmed she had not put on a gown before beginning the dressing change....