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Deficiency Records for Lutheran Home of The Good Shepherd
A list of the most recent deficiencies for Lutheran Home of The Good Shepherd. 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 Lutheran Home of The Good Shepherd. 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? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-09 | 2024-08-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-09 | 2024-08-23 | 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 | 2024-07-10 | 2024-08-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-10 | 2024-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-10 | 2024-08-01 | 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 | 2024-07-10 | 2024-08-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-10 | 2024-08-01 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-26 | 2023-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-25 | 2022-03-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-25 | 2022-03-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-20 | 2022-02-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-20 | 2022-02-22 | 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 | 2022-01-20 | 2022-02-22 | 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 | 2022-01-20 | 2022-01-25 | N |
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