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Deficiency Records for Lutheran Care Center
A list of the most recent deficiencies for Lutheran Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Lutheran Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-29 | 2024-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-29 | 2024-09-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-29 | 2024-09-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-29 | 2024-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-23 | 2023-08-17 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-06-23 | 2023-07-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-23 | 2023-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-07-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-09 | 2023-07-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-06-09 | 2023-07-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-06-23 | 2023-07-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-23 | 2023-07-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-23 | 2023-06-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-23 | 2023-06-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-17 | 2022-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-01 | 2022-07-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-01 | 2022-07-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-01 | 2022-07-29 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-07-01 | 2022-07-26 | N |
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