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Deficiency Records for The Lutheran Home: Belle Plaine
A list of the most recent deficiencies for The Lutheran Home: Belle Plaine. 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 The Lutheran Home: Belle Plaine. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-06 | 2024-09-26 | 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 | 2024-08-06 | 2024-09-26 | N |
| Post nurse staffing information every day. | Health | 2024-08-06 | 2024-09-26 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-08-06 | 2024-09-26 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-08-06 | 2024-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-06 | 2024-09-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-08-06 | 2024-09-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-08-06 | 2024-08-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-06 | 2024-08-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-29 | 2024-06-29 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-09-21 | 2023-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-09-19 | 2023-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-19 | 2023-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-31 | 2023-05-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-16 | 2022-08-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-16 | 2022-08-07 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-16 | 2022-08-07 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-12 | 2022-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-12 | 2022-07-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-12 | 2022-07-12 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-12 | 2022-07-12 | N |
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