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Complaint Investigation

Lincolnshire Health & Rehabilitation Center

February 26, 2026 · Merrillville, IN · 8380 Virginia St
Citations 4
CMS Rating 1/5
Beds 100
Provider ID 155650
Healthcare Facility
Lincolnshire Health & Rehabilitation Center
Merrillville, IN  ·  View full profile →
Inspection Summary

LINCOLNSHIRE HEALTH & REHABILITATION CENTER in MERRILLVILLE, IN — inspection on February 26, 2026.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0628
Resident Rights Deficiencies

During an interview on 2/26/26 at 2:33 p.m., the Social Service Director (SSD) indicated the resident had been discharged to home and a referral had been made to home health.

There was no documentation regarding the home health referral in the resident's record but there was an email related to the referral.

During an interview on 2/26/26 at 2:40 p.m., the Director of Nursing indicated at discharge, residents should be given a discharge summary, a list of medications and any equipment orders and there should be a progress note completed in their record.

The policy, Discharge summary, dated [DATE], was provided by the Administrator and indicated, .2.

When the facility anticipates discharge, a resident must have a discharge summary that includes, but is not limited to, the following: a. A recapitulation of the resident's stay that includes, but is not limited to, diagnosis, course of illness/treatment or therapy, and pertinent lab, radiology, and consultation results c.

Reconciliation of all pre-discharge medications with the resident's post-discharge medications (both prescribed and over the counter.

This citation relates to Intake 2745646.410 IAC (Indiana Administrative Code) 16.2-3.1-12(a)(3) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

155650 02/26/2026

Lincolnshire Health & Rehabilitation Center 8380 Virginia St Merrillville, IN 46410

a breakfast meal for 1 of 3 residents observed for meal intake assistance. (Resident F)Finding

and a tray table over the bed. On the tray table was an uncovered breakfast tray which consisted of scrambled eggs, a hot cereal, a muffin, a carton of milk, and a glass of orange juice.

There were no attempts made to feed herself.During an observation on 2/26/26 at 8:24 a.m., the breakfast tray remained in front of Resident F on the tray table.

Her fingers of her left hand were in the scrambled eggs and there were tremors of the hand when she raised her fingers off the plate.

She was unable to communicate if she required help to eat.

There were no attempts to feed herself.During an observation on 2/26/26 at 8:45 a.m., the breakfast tray remained in front of her.

The tremors of the hands continued.

The scrambled eggs were now in in the hot cereal bowl.

There were no attempts made to feed herself. CNA 1 indicated the resident was a new admission and required assistance with the meal intake and she would assist the resident.During an observation on 2/26/25 at 8:49 a.m., CNA 1 was at the bedside and attempted to feed the resident.

She indicated the resident didn't seem like she wanted to eat and did take a sip of the orange juice. CNA 1 had not warmed up the food nor obtained a new breakfast tray for the resident.During an observation on 2/26/26 at 1:00 p.m., a family member was assisting the resident with her lunch meal and indicated the resident was dependent for meal intake.

During an interview on 2/26/26 at 1:06 p.m., the Director of Nursing indicated the resident should have been fed when the tray arrived and CNA 1 should have obtained a new tray for the resident.

Resident B's record was reviewed on 2/26/26 at 1:22 p.m.

The diagnoses included, but were not limited to Parkinson's disease and dementia.

She was admitted into the facility on 2/25/26.A Baseline Care Plan, dated 2/25/26 at 1:49 p.m., indicated the resident required physical assistance of one person for eating.The Functional Abilities and Goals assessment, dated 2/25/26 at 10:04 p.m., indicated the resident was dependent for eating.This Citation relates to Intake 2745646.410 IAC (Indiana Administrative Code) 16.2-3.1-38(a)(3)

155650 02/26/2026

Lincolnshire Health & Rehabilitation Center 8380 Virginia St Merrillville, IN 46410

D)Finding includes:Resident D's record was reviewed on 2/26/26 at 9:45 a.m.

Diagnoses included, but

heel and received hospice services.The Significant Change Minimum Data Set assessment, dated 11/27/25, indicated the resident had significant cognitive deficits and required substantial/maximum assistance for bed mobility.A Physician's Order, dated 12/20/25, indicated to cleanse the coccyx wound with normal saline, apply calcium alginate and cover with a dry dressing daily.The January 2026 Treatment Administration Record indicated the wound treatment was not signed out as completed on 1/5 and 1/7.A Physician's Order, dated 12/17/25, indicated to cleanse the left heal wound with normal saline, apply calcium alginate and secure with Kerlix every Monday, Wednesday and Friday.

The order was discontinued on 1/6/26.A Physician's Order, dated 1/7/26, indicated to cleanse the left heal wound with normal saline, apply calcium alginate and cover with a dry dressing every Monday, Wednesday and Friday.

The order was discontinued on 1/16/26.A Physician's Order, dated 1/24/26, indicated to cleanse the left heal wound with normal saline, pat dry, apply triple antibiotic ointment to peri-wound, apply calcium alginate and cover with a dry dressing.

The order was discontinued on 1/30/26.A Physician's Order, dated 1/31/26, indicated to cleanse the left heal wound with normal saline, apply calcium alginate and cover with a dry dressing daily.The January and February 2026 Treatment Administration Records indicated the wound treatment was not signed out as completed on 1/5, 1/7, 1/25, 1/31, 2/9, 2/16 and 2/17.

During an interview on 2/26/26 at 2:25 p.m., the Wound Nurse indicated she did not know why the treatments weren't completed on the above dates.

The February dates corresponded with dates hospice staff visited and they may have changed the dressing.

Hospice records were requested by the nurse, but not received.

The policy, Wound Dressing Change, dated 5/20/24, was received from the Regional Wound Nurse indicated, .11.

Document the completion of dressing change on the treatment record.This citation relates to Intake 2745676.410 IAC (Indiana Administrative Code) 16.2-3.1-40(a)(2)

155650 02/26/2026

Lincolnshire Health & Rehabilitation Center 8380 Virginia St Merrillville, IN 46410

in accordance with accepted professional standards.

in a timely manner related to nutritional assessments for 2 of 6 residents reviewed for medical

at 9:58 a.m.

The diagnoses included, but were not limited to, diabetes mellitus.

The resident was admitted into the facility on 1/28/26 and discharged from the facility on 2/13/26.A Care Plan, dated 2/10/26, indicated a poor appetite and frequent refusals of meals.There was no documentation located in the record that indicated a nutritional assessment had been completed to evaluate the resident's nutritional needs. 2.

Resident C's closed record was reviewed on 2/26/26 at 11:03 a.m.

The diagnoses included, but were not limited to, dementia.

The resident was admitted into the facility on 1/19/26 and discharged from the facility on 2/5/26.An admission Minimum Data Set assessment, dated 1/26/26, indicated a deep tissue injury pressure ulcer was present on admission.A Care Plan, dated 2/2/26, indicated there was difficulty chewing and swallowing some foods with a moderate appetite.There was no documentation located in the record that indicated a nutritional assessment had been completed to evaluate the resident's nutritional needs.

During an interview on 2/26/26 at 2:43 p.m., the Registered Dietician indicated she was a little behind and did not have enough hours at the facility to ensure the assessments were completed timely.This citation relates to Intake 2745646.410 IAC (Indiana Administrative Code) 16.2-3.1-50(a)(1)

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MERRILLVILLE, IN, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LINCOLNSHIRE HEALTH & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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