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Deficiency Records for Wellspring Lutheran Services
A list of the most recent deficiencies for Wellspring Lutheran Services. 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 Wellspring Lutheran Services. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-09 | 2024-08-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-10 | 2024-08-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-10 | 2024-08-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-10 | 2024-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-30 | 2024-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-09-18 | 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 | 2023-08-02 | 2023-09-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-02 | 2023-09-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-02 | 2023-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-02 | 2023-09-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-09-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-26 | 2022-08-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-07-26 | 2022-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-26 | 2022-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-26 | 2022-08-26 | N |
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