Lincoln County Nursing & Rehab

During an interview on 9/23/25 at 1:26 P.M. and 3:46 P.M. CNA K said the following:-The resident was often combative; -If two aides of the opposite gender provided care it was best, and the resident did not act out as much; -CNA K did not think the resident liked staff of the same gender to care for him/her;-CNA K frequently got report from CNA I, who was the same gender as the resident, who said Resident #1 was combative, aggressive, or cursed when CNA I provided care;-The resident was changed from a two person assist with a gait belt (an assistive device which can be used to help safely transfer a person from a bed to a wheelchair and assist with sitting and standing) for transfers to a sit to stand lift;-Once the resident was in the standing position in the sit to stand lift, he/she would let go of the handles and flail his/her arms almost every time;-CNA K did not have any kind of dementia training.

During an interview on 10/1/25 at 11:29 A.M. CNA I (who is the same gender as the resident) said the following:-Resident #1 had been very combative and yelled out.

The resident had hit CNA I many times before, bit and scratched him/her;-Staff could not redirect the resident when he/she was angry.

The resident continued to be upset for about 45 minutes once he/she was upset and then calmed down.

During an interview on 9/24/25 at 4:22 the MDS/Care Plan Coordinator said the following:-It was her responsibility to update resident care plans;-She should have updated the resident care plan after the incident with the resident on 9/18/25;-Not all CNAs knew how to access a resident's care plan on the computer.

During an interview on 9/24/25 at 4:15 P.M. the Director of Nursing (DON) said the following:-She expected staff to notify her if a resident had behaviors. CNAs should notify nurses, and the nurses should notify the DON;-All staff know non-pharmacological interventions to use if a resident had behaviors; leave the resident and go back later and try again, redirect the resident, and figure out what triggered the resident;-The care plan should have been updated by the MDS/Care Plan Coordinator;-Staff received dementia care training upon hire.

During an interview on 9/24/25 at 4:30 P.M. the Administrator said the following:-Staff received dementia care training upon hire;-She expected staff to step away from Resident #1 if he/she had behaviors or resisted cares and then go back later and try again;-She did not know the resident did not like or had a problem with CNA B until the incident on 9/18/25.

None of the staff let her know;-She also did not know the resident did not like or had a problem with CNA I and had behaviors when CNA I provided care to the resident.

During an interview on 9/30/25 at 9:57 A.M. the resident's Psychiatric Nurse Practitioner said the following:-He/She was not aware the resident had behaviors.

This was the first time she heard Resident #1 exhibited behaviors of any kind;-He/She was at the facility on 9/25/25 and spent time with the resident with the SSD in the room.

The SSD said the resident was doing fine and had no problems;-He/She expected staff to let him/her know if the resident exhibited behaviors.

Just because a problem appeared to be resolved, it did not mean the behavior was over or wouldn't occur again; -The Psychiatric Nurse Practitioner expected staff to have dementia care training; -A staff member's approach with dementia residents was very important;-If staff haven't been trained properly or don't have access to care plans to know how to care for residents, it could be hard for both the staff and the resident. 26241422621418

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