The Greens At Lincolnton
The Greens at Lincolnton in Lincolnton, NC — inspection on February 12, 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.
Inspection Findings
During an interview on 2/12/26 at 6:30 PM with the Administrator, he revealed the Social Worker would be responsible for completing and submitting PASRR paperwork. He stated the previous Social Worker had left in May 2025 and the new Social Worker had only been in the position for a few months and due to scheduling conflicts had not received the full training on completing and submitting PASRR paperwork.
The Administrator revealed he was not aware of the sampled resident's diagnosis or that they did not have a PASRR level II evaluation paperwork completed and did not know why a PASRR level II evaluation request had not been submitted. He stated that his understanding was that a PASRR level II should be completed in a timely manner upon the admission or readmission of a resident with a mental health diagnosis and anytime a resident has had a change of condition or received a new mental health diagnosis and that according to the sampled resident's diagnoses a PASRR level II should have been completed.
345250 02/12/2026
The Greens at Lincolnton 515 S Generals Boulevard Lincolnton, NC 28093
place.
considered accurate or a valid test because all the components in the teste were expired.
She further
[DATE] at 11:35 AM.
She checked the lot number for the COVID test and said the expiration date
She reported if the test was used after the expiration date listed on the box the test results would not be considered valid and inaccurate.
She stated negative or positive results would be considered invalid. An interview was conducted with the Health Department (HD) Nurse on [DATE] at 12:52 PM.
She stated the HD could only provide guidance to the facility and typically did that via email.
She reported the facility had reached out to the HD recently, she said in the last few days but did not say which day about if expired COVID tests could still be used.
The HD stated they were still working on finding the guidance for the facility. An interview was conducted with the facility Physician on [DATE] at 4:50 PM.
The Physician stated using expired COVID test could affect the efficacy of the test and that the test results may not be valid.
She explained the protein in the test solution used in the COVID test kit binds to the virus to produce results.
She further explained that the protein became denatured (breaks down) over time.
She said if the protein was denatured it would not bind to the virus and react to produce a positive test.
The Physician reported an expired test could give a false negative result.
The Physician thought a positive test result on an expired test could be trusted but that a negative result could not be trusted. A follow up interview was conducted with the IP on [DATE] at 1:28 PM.
The IP stated the facility conducted facility wide testing of all residents today ([DATE]) because the COVID tests previously used had been expired.
The IP reported she discarded the expired COVID tests and the tests used for COVID testing today were within date.
She stated no additional residents had tested positive for COVID. An interview was conducted with Assistant Director of Nursing (ADON) on [DATE] at 4:56 PM.
The ADON said the facility had called the manufacture of the expired COVID test today.
She reported that the manufacturer said the tests were out of date and the expiration date listed on the box was the expiration date of the test.
The ADON stated the tests should not have been used.
She reported the facility had re-tested all residents today ([DATE]) with an in-date COVID test and all the residents were negative. An interview was conducted with the Administrator and Regional Nurse on [DATE] at 6:13 PM.
The Administrator stated he was not aware the facility had been using expired COVID tests.
The Administrator said the COVID test manufacture expiration date should be checked and that the facility should not use expired tests.
The Administrator reported previously expiration dates on COVID test were extended and he was not aware that it had changed. He was not sure if the expired tests would give a valid result.
The Regional Nurse said the COVID test manufacture was called for one of the [brand name] COVID tests, she was not sure which one but said the manufacture had said the test results would not be valid.
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The Greens at Lincolnton 515 S Generals Boulevard Lincolnton, NC 28093
the benefits and potential side effects of the COVID-19 vaccine.An interview was conducted on
COVID-19 vaccine with her since her admission to the facility.
She reported she wasn't sure if she
on 2/12/26 at 4:45 PM.
She reported that the facility did offer the COVID-19 vaccination and she tried to make sure she offered it to all residents every year but she reported she did not keep any formal documentation of consent or declination of the vaccine, only the list she used with the Y and N beside their name indicating if they wanted the vaccine or not.
The IP nurse indicated that the Admissions Coordinator was responsible for having any newly admitted residents sign consent forms for the flu and pneumonia vaccinations but not COVID-19.
Once the paperwork was signed electronically it was uploaded into the resident's electronic medical record and either the nurse on the floor or the IP nurse reviewed the vaccination status. If it was the nurse on the floor, she writes a note and leaves it for the IP nurse, who then adds the resident to her list of people who need to be vaccinated.
The IP nurse reported this process was only for the flu and pneumonia vaccine and she doesn't really have a process for the COVID-19 vaccination for new admissions.
The IP nurse reported that if a Resident received the COVID-19 vaccination there should be an order from the Medical Doctor (MD) and it should be recorded in the medical record when it was given.
She reported she was not sure if the COVID-19 vaccine was offered to new admissions.
The IP indicated she did not offer risk versus benefits education of the vaccine but did offer side effects education of the vaccine to the resident or their responsible party.
The Director of Nursing was not available for interview during survey.An interview was conducted with the Assistant Director of Nursing (ADON) on 2/12/25 at 5:00 PM.
The ADON reported that she depended on the IP Nurse to offer, educate and vaccinate the residents who agreed to be vaccinated against COVID-19 annually.An interview was conducted with the Regional Nurse Consultant on 2/12/26 at 5:15 PM.
The Regional Nurse Consultant reported that upon investigation of the vaccination procedure being used by the IP Nurse, it seems this process was not effective.
The Regional Nurse Consultant reported that all residents who wished to have a vaccination should receive it.
She reported that education on risk versus benefits should be offered to the resident or responsible party and they should be signing that they received this education and should be documented in the resident's medical record.
She stated vaccinations should be offered on admission and annually.An interview was conducted with the Administrator on 2/12/26 at 5:30 PM.
The Administrator stated he depended on the IP nurse to educate all residents or their responsible party on vaccinations that were offered in the facility and then to vaccinate all residents who wished to be vaccinated.
The Administrator also stated he expected all consents and declinations as well as vaccinations given to be recorded in the Residents' medical record.
345250 02/12/2026
The Greens at Lincolnton 515 S Generals Boulevard Lincolnton, NC 28093