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Deficiency Records for St Lukes Lutheran Care Center
A list of the most recent deficiencies for St Lukes Lutheran Care 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 Lukes Lutheran Care 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-20 | 2024-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-20 | 2024-04-10 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2024-03-20 | 2024-04-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-20 | 2024-04-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-20 | 2024-04-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-20 | 2024-03-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-20 | 2024-03-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-20 | 2024-03-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-20 | 2024-03-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-01 | 2023-04-21 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-01 | 2023-04-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-01 | 2023-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-01 | 2023-03-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-01 | 2023-03-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-01 | 2023-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-01 | 2023-03-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-01 | 2023-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-01 | 2023-03-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-01 | 2023-03-01 | 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 | 2021-10-28 | 2021-12-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-28 | 2021-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-12-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-10-28 | 2021-12-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-26 | 2021-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-26 | 2021-12-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-26 | 2021-12-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-26 | 2021-12-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-10-26 | 2021-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-26 | 2021-12-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-26 | 2021-12-06 | N |
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