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Deficiency Records for Lutheran Community Home
A list of the most recent deficiencies for Lutheran Community Home. 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 Community Home. 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? |
---|---|---|---|---|
Meet other general requirements that are deficient. | Fire Safety | 2024-09-24 | 2024-10-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-24 | 2024-10-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-24 | 2024-10-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-24 | 2024-10-08 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-09-13 | 2024-10-04 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-09-13 | 2024-10-04 | 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 | 2023-07-25 | 2023-08-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-25 | 2023-08-23 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-07-25 | 2023-08-23 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-07-25 | 2023-08-23 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-07-25 | 2023-08-23 | N |
Meet other general requirements. | Fire Safety | 2023-08-07 | 2023-08-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-07 | 2023-08-18 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-07 | 2023-08-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-07 | 2023-08-18 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-21 | 2023-04-17 | Y |
Implement emergency and standby power systems. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-25 | 2022-09-08 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-25 | 2022-08-31 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-25 | 2022-08-31 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-07-25 | 2022-08-31 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-25 | 2022-08-31 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-25 | 2022-08-31 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-07-25 | 2022-08-31 | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-25 | 2022-08-31 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-05 | 2022-05-25 | Y |
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