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Deficiency Records for Lutheran Life Villages

A list of the most recent deficiencies for Lutheran Life Villages. 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 Life Villages. 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 2024-03-18 2024-05-04 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-03-18 2024-05-04 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-02-27 2024-03-08 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2024-02-27 2024-03-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-20 2023-03-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-02-20 2023-03-03 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-02-20 2023-03-03 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-02-20 2023-03-03 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-09 2022-05-27 Y
Meet requirements for sections of health care facilities separated by fire resistive construction. Fire Safety 2022-04-11 2022-04-29 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-04-11 2022-04-29 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 2022-04-11 2022-04-29 N
Provide properly protected cooking facilities. Fire Safety 2022-04-11 2022-04-29 N
Have an externally vented heating system. Fire Safety 2022-04-11 2022-04-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-04-11 2022-04-29 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-04-11 2022-04-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-04-11 2022-04-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-11 2022-04-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-08 2022-03-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-08 2022-03-30 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 2022-03-08 2022-03-30 N
Provide enough food/fluids to maintain a resident's health. Health 2022-03-08 2022-03-30 N

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