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Deficiency Records for St Luke Lutheran Nursing Home

A list of the most recent deficiencies for St Luke Lutheran Nursing 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 St Luke Lutheran Nursing 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-04-25 2024-05-25 Y
Respond appropriately to all alleged violations. Health 2024-04-25 2024-05-25 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-04-25 2024-05-25 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-04-25 2024-05-25 Y
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-23 2023-09-23 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-08-23 2023-09-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-08-23 2023-09-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-08-23 2023-09-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-23 2023-09-23 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-17 2023-09-17 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 2023-08-17 2023-09-17 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-08-17 2023-09-17 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-08-17 2023-09-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-23 2023-09-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-10 2023-05-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-16 2022-09-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-16 2022-09-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-16 2022-09-16 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-03-17 2022-04-17 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 2022-03-17 2022-04-17 N
Provide and implement an infection prevention and control program. Health 2022-03-17 2022-04-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-03-22 2022-04-15 N
Establish roles under a Waiver declared by secretary. Fire Safety 2022-03-22 2022-04-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-03-22 2022-04-05 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 2022-03-22 2022-03-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-03-22 2022-03-31 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-03-22 2022-03-24 N
Use approved construction type or materials. Fire Safety 2022-03-22 2022-03-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-22 2022-03-23 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-02-27 2020-03-27 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2020-02-27 2020-03-27 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-02-27 2020-03-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-02-27 2020-03-27 N
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2020-02-27 2020-03-27 N
Observe each nurse aide's job performance and give regular training. Health 2020-02-27 2020-03-27 N
Provide and implement an infection prevention and control program. Health 2020-02-27 2020-03-27 N
Meet requirements for the use and maintenance of medical gas equipment. Fire Safety 2020-03-02 2020-03-13 N

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