Average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lincoln Hills Of New Albany during CMS and state inspections, most recent first.
Meal trays were left in residents’ rooms for extended periods without timely removal or setup, including trays left untouched while residents were asleep, sitting in bed, or not yet eating. Surveyors observed several residents with breakfast or lunch trays still on bedside tables, and staff gave inconsistent answers about how long trays could remain in rooms. The affected residents had diagnoses including dementia, cognitive impairment, dysphagia, and nutritional risk, and several required setup or clean-up assistance with eating.
Kitchen Sanitation and Expired Food: Surveyors observed expired ranch dressing containers, a greasy kitchen floor with dried substances and food debris, a missing oven door knob, and a brown greasy streak running down the oven door and onto the floor. The kitchen cleaning log showed cleaning was not completed on 20 of 30 days, and the Dietary Manager stated blank spaces meant the cleaning was not done and leftover food should be discarded after three days.
A resident with a hx of TBI, bipolar disorder, memory deficit, falls, and COPD had a care plan stating dementia required a locked, structured unit, but the record was not updated after the resident’s cognition was documented as intact and the resident moved to a non-locked SNF hallway. The resident was observed propelling a wheelchair to activities, and staff reported no wandering or elopement behaviors, yet the care plan lacked revised interventions reflecting the changed condition.
A resident with vascular dementia and gait abnormalities, identified as at risk for falls, was not wearing hipsters at the time of a fall resulting in a hip fracture. The facility failed to document the resident's non-compliance with wearing hipsters in the care plan until days after the incident, despite staff awareness of the behavior.
A resident with multiple health conditions, including dementia and diabetes, developed a Stage 4 pressure ulcer due to inadequate care and prevention measures. Despite having a care plan and interventions in place, the resident's left heel ulcer worsened over time, indicating ineffective management. The wound physician noted challenges in treatment due to the resident's comorbidities and positioning issues.
The facility did not resolve or communicate resolutions for grievances raised by the Resident Council during meetings in February, April, and August 2024. Issues included missing clothes, dissatisfaction with the menu, and CNA performance. Despite some responses from department heads, there was no documentation of these being discussed in subsequent meetings, and the Resident Council President did not sign off on responses. Interviews revealed a lack of formal policies and inadequate documentation practices.
The facility failed to deliver mail to residents on Saturdays, despite it being delivered to the facility. Residents reported not receiving their mail, and the Activities Director confirmed that mail delivered on Saturdays was not sorted or distributed until Monday due to the absence of a weekend receptionist. The facility lacked a specific policy on mail delivery, relying on State and Federal rules on Resident Rights.
The facility failed to document administered narcotics correctly for six residents, leading to discrepancies between the medication card counts and the Controlled Drug Record. Observations revealed that LPNs did not sign out narcotics immediately after administration, as required by the facility's policy. The DON confirmed the need for accurate documentation to ensure correct narcotic counts.
A resident with severe cognitive impairment and hand contractures was left unsupervised with a lunch tray, leading to a burn from spilled hot soup. The facility lacked a policy for hot liquid assessments, contributing to the incident.
Meal trays left in resident rooms without timely removal
Penalty
Summary
The facility failed to ensure residents’ meal trays were removed in a timely manner and left meal trays in resident rooms while residents were asleep, not eating, or not set up to eat. Surveyors observed multiple residents with breakfast or lunch trays sitting on bedside tables for extended periods, including trays that remained covered and untouched while the residents slept or were otherwise not eating. The report identified this concern for 6 of 7 residents reviewed for dignity: Residents 38, 43, 104, 122, 109, and 74. Resident 38 was observed with breakfast tray left in front of her while she was sitting in her wheelchair and had not eaten. Later, her lunch tray was placed in the room while she was still finishing breakfast, and the lunch remained in the room while she delayed eating it. The resident’s record showed diagnoses including memory deficit following cerebrovascular disease, alcohol dependence with alcohol-induced persisting dementia, encephalopathy, and moderate protein-calorie malnutrition. Her MDS indicated she was moderately cognitively impaired and required setup or clean-up assistance with eating. Resident 43 was observed with breakfast untouched while she lay in bed and later with lunch placed in front of her while she sat in her wheelchair and did not begin eating. Resident 104’s lunch tray was placed in the room while he was asleep and snoring, and it remained covered on the bedside table during repeated observations. Resident 122’s lunch tray was also left covered on the bedside table while he slept, and it remained there until later removed. Resident 109 and Resident 74 were each observed with breakfast trays sitting on bedside tables without being set up for eating, and neither had eaten their meals at the time of observation. The records for these residents showed significant cognitive impairment, nutritional risk, dysphagia or other diagnoses, and needs for assistance with eating or meal setup. Interviews with staff and the DON showed inconsistent understanding of how long trays could remain in rooms, with statements ranging from no time limit to removal after 15 to 20 minutes or 35 to 40 minutes, and the Clinical Specialist stated the facility had no policy on how long food could be left sitting out in a resident’s room.
Kitchen Sanitation and Expired Food
Penalty
Summary
The facility failed to maintain the kitchen in a clean and sanitary condition and failed to dispose of expired food. During observation of the kitchen, surveyors found fifty small condiment containers filled with ranch dressing that had an expiration date of 11/18/25. The kitchen floor had several black and brown dried substances, appeared greasy, and had scattered food debris. The knob to the oven door was missing and was found underneath the oven, with the Dietary Manager stating it was loose and frequently fell off. A brown greasy streak was observed running down the full length of the oven door and onto the floor. On a later observation, the same conditions were still present, including the greasy floor with dried substances and food debris, the missing oven door knob, and the brown greasy streak. Review of the kitchen cleaning schedule for November showed that cleaning was not completed on 20 of 30 days, and the Dietary Manager stated that blank spaces on the schedule meant the cleaning was not done and that leftover food should be disposed of after three days.
Failure to Revise Care Plan for Changed Cognition and Placement Needs
Penalty
Summary
The facility failed to ensure Resident 121’s plan of care was revised to reflect changes in cognition, judgment, and behaviors. The resident’s diagnoses included personal history of traumatic brain injury, bipolar disorder, memory deficit following other cerebrovascular disease, history of falls, and chronic obstructive pulmonary disease. A care plan dated 4/12/24 stated the resident had dementia that negatively impacted cognition and judgment and required a locked, structured unit, with a goal dated 2/14/26 for the resident to remain on the locked unit until clinical and psychosocial needs no longer required a specialized unit. Interventions included educating the family about the disease process, encouraging participation in activities of interest, and providing cues and reminders as needed. A physician order dated 5/8/24 indicated the resident may reside on the secured memory unit. The resident’s record lacked an updated care plan and/or interventions related to improved cognition, judgment, and behaviors after the resident moved from the memory unit to the skilled nursing hallway on 12/27/24. The Quarterly MDS dated 10/23/25 indicated the resident was cognitively intact. During observation on 12/5/25, the resident was seen propelling his wheelchair in the hallway to the activities room from C Hall, which was not a locked unit, and he stated he felt good and was ready to be out of his room. A CNA stated the resident did not have behaviors throughout the day, refused care sometimes, and did not attempt to wander or elope from the facility. The DON stated care plans and orders were changed by the IDT after a change in condition had been addressed, and the Clinical Specialist stated there were no policies on care plans or care plan revisions and that the facility followed the RAI manual for care plans.
Failure to Implement Timely Care Plan for Fall Intervention
Penalty
Summary
The facility failed to ensure a timely care plan was in place for a resident's non-compliance with a fall intervention. Resident D, who had diagnoses including vascular dementia and gait abnormalities, was identified as being at risk for falls and was supposed to wear hipsters to reduce injury risk. However, on a specific date, the resident fell and sustained a left hip fracture while not wearing the hipsters. It was noted that the resident often removed the hipsters, and this behavior had been ongoing for 2 to 3 months prior to the incident. Despite staff awareness of the resident's tendency to remove the hipsters, the care plan did not document this non-compliance until several days after the fall. Interviews revealed that the Director of Nursing was not aware of the resident's behavior, although the staff were. The facility lacked a specific policy on care plans and followed the Resident Assessment Instrument manual. This deficiency was related to a complaint investigation.
Failure to Prevent and Manage Pressure Ulcers
Penalty
Summary
The facility failed to provide adequate care and services to prevent the development and worsening of pressure ulcers for a resident, resulting in a Stage 4 pressure ulcer. The resident, who had multiple diagnoses including dementia, diabetes, and mobility impairments, was admitted to the facility with no skin breakdown. However, the resident was at risk for skin breakdown due to decreased mobility and other health conditions. Despite having a care plan in place that included interventions such as offloading heels, turning and repositioning, and using pressure reduction devices, the resident developed multiple areas of skin breakdown, including a significant pressure ulcer on the left heel. The resident's left heel ulcer was initially identified as a Stage 3 pressure ulcer, but it deteriorated over time despite ongoing wound care and treatment adjustments. The wound management notes documented fluctuations in the wound's condition, with periods of improvement followed by decline. The wound eventually progressed to a Stage 4 pressure ulcer, characterized by full-thickness tissue loss. The facility's records indicated that the resident's heels were offloaded, and preventative measures were in place, but the wound continued to worsen, suggesting that the interventions were not effectively preventing further deterioration. Interviews with the wound physician and observations revealed that the resident's wound was not responding well to treatment, and pressure was identified as the cause of the wound. The resident's comorbidities, including dementia and diabetes, along with positioning challenges, contributed to the difficulty in managing the wound. Despite the use of advanced treatments such as skin substitutes, the wound remained a significant issue, highlighting the facility's failure to adequately prevent and manage pressure ulcers in this resident.
Failure to Address and Communicate Resident Council Grievances
Penalty
Summary
The facility failed to promptly resolve grievances made by the Resident Council and did not discuss the resolutions or responses at subsequent Resident Council meetings. During three of the nine meetings held in February, April, and August 2024, residents expressed that their concerns were not addressed or resolved. Specific issues included missing clothes, dissatisfaction with the menu, and the need for improved performance by the third shift CNA. Despite responses from the Director of Laundry and the Director of Nursing, there was no documentation of these responses being discussed in the following meetings, and the Resident Council President did not sign off on the concern responses. Interviews with facility staff revealed a lack of formal policies regarding the Resident Council and grievance procedures. The Activities Director mentioned that there was no section on the Resident Council Minutes form to document old business or resolutions, although he claimed to review previous concerns with residents. The Executive Director was unaware that resolutions were not being communicated back to the Resident Council, and noted that the new forms lacked a section for old business, unlike the previous forms. This lack of documentation and communication led to unresolved grievances and dissatisfaction among residents.
Failure to Deliver Resident Mail on Saturdays
Penalty
Summary
The facility failed to ensure residents received their mail on Saturdays, despite it being delivered to the facility. This issue was identified during a Resident Council meeting where 13 alert and oriented residents reported not receiving mail on Saturdays, even though they observed the mailman delivering it. The Activities Director confirmed that mail delivered late on Fridays was distributed before he left for the day, but mail delivered on Saturdays was not sorted or distributed until the following Monday. The Executive Director acknowledged that the absence of a weekend receptionist, who was responsible for sorting the mail, led to the delay in mail delivery to residents on Saturdays. Additionally, RN 1 noted that the facility lacked a specific policy on mail delivery, relying instead on State and Federal rules regarding Resident Rights.
Narcotic Documentation Discrepancies
Penalty
Summary
The facility failed to ensure proper documentation of administered narcotics on the Controlled Drug Record for six residents. During an observation of the C Hall medication cart, discrepancies were found in the narcotic counts for several residents. For instance, Resident 104's oxycodone count was off by one tablet, and the last dose was not signed out correctly. Similar issues were observed with Resident 21's hydrocodone/APAP, Resident 60's Tramadol, and Resident 26's Clonazepam, where the medication card counts did not match the Controlled Drug Record, and the last doses were not properly documented. These discrepancies were attributed to LPN 3, who admitted to not signing out each narcotic as it was administered. Further observations on the E Hall medication cart revealed similar issues with Resident 54's hydrocodone/APAP, where the medication card contained fewer tablets than recorded on the Controlled Drug Record. LPN 4 also acknowledged failing to sign out the narcotic after administration. The Director of Nursing confirmed that the nurses should have signed out the narcotics immediately after administration to ensure the count was correct and to avoid discrepancies. The facility's Clinical Policy and Procedure for Scheduled Drugs mandates that the licensed nurse must document the date, time, dose, and their signature immediately after administering a scheduled drug.
Failure to Conduct Hot Liquid Assessment Leads to Resident Burn
Penalty
Summary
The facility failed to ensure a hot liquid assessment was completed for a resident with a decline in function, leading to an accident. During an observation, a resident's lunch tray was left within reach without staff supervision. The resident, who had bilateral hand contractures and was severely cognitively impaired, attempted to feed himself but struggled due to his condition. Previously, the resident had spilled hot soup in his lap, resulting in a burn on his right inner thigh, which required medical attention and treatment. Interviews with the Director of Nursing and Occupational Therapy staff revealed that the resident could handle finger foods but had difficulty with soups and hot liquids. It was noted that hot liquids should be served in a cup with a lid to prevent accidents. However, the facility did not have a policy or conduct evaluations for hot liquids, contributing to the incident where the resident was burned by hot soup.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near New Albany
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Villages At Historic Silvercrest The | 1.2 mi | ★★★★★ | 4 | 0 |
| Autumn Woods Health Campus | 1.2 mi | ★★★★★ | 7 | 0 |
| Green Valley Care Center | 1.4 mi | ★★★★★ | 20 | 0 |
| Wedgewood Healthcare Center | 2.8 mi | ★★★★★ | 12 | 0 |
| Rolling Hills Healthcare Center | 3.1 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.