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Deficiency Records for Lutheran Sunset Home

A list of the most recent deficiencies for Lutheran Sunset Home. 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 Sunset Home. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-21 2024-06-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-25 2024-02-29 Y
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 2023-11-02 2023-11-21 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-11-02 2023-11-21 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-02 2023-11-21 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-11-02 2023-11-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-14 2022-10-07 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-09-14 2022-10-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-14 2022-10-07 N
Provide and implement an infection prevention and control program. Health 2022-09-14 2022-10-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-05-11 2021-06-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-06 2021-06-04 N
Provide and implement an infection prevention and control program. Health 2021-05-06 2021-06-04 N

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