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Deficiency Records for St Luke's Living Center
A list of the most recent deficiencies for St Luke's Living Center. 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's Living Center. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-05-18 | 2021-06-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-18 | 2021-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-18 | 2021-06-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-18 | 2021-06-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-31 | 2019-09-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-31 | 2019-09-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-07-31 | 2019-09-09 | 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 | 2019-07-31 | 2019-09-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-31 | 2019-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-09-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-07-31 | 2019-09-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-31 | 2019-09-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-26 | 2018-09-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-26 | 2018-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-26 | 2018-09-04 | 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 | 2018-07-26 | 2018-09-04 | N |
| Dispose of garbage and refuse properly. | Health | 2018-07-26 | 2018-09-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-09-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-26 | 2018-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-26 | 2018-09-04 | N |
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