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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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