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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? |
---|---|---|---|---|
Use approved construction type or materials. | Fire Safety | 2024-08-26 | 2024-09-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-26 | 2024-09-26 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2024-08-26 | 2024-09-26 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-26 | 2024-09-26 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-26 | 2024-09-26 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-22 | 2024-09-12 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-22 | 2024-09-12 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-22 | 2024-09-12 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-22 | 2024-09-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-22 | 2024-09-12 | N |
Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-09-12 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-22 | 2024-09-05 | Y |
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 |
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