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Deficiency Records for Luther Acres Manor

A list of the most recent deficiencies for Luther Acres Manor. 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 Luther Acres Manor. 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?
Meet other general requirements. Fire Safety 2023-12-19 2024-02-17 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-12-19 2024-02-17 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-12-19 2024-02-17 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 2023-12-19 2024-02-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-19 2024-02-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-12-19 2024-02-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-12-19 2024-02-17 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 2023-12-14 2024-01-30 N
Respond appropriately to all alleged violations. Health 2023-12-14 2024-01-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-14 2024-01-30 N
Respond appropriately to all alleged violations. Health 2023-02-24 2023-04-11 N
Have proper medical gas storage and administration areas. Fire Safety 2023-02-09 2023-03-09 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-02-22 2022-04-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-22 2022-04-05 N
Install a two-hour-resistant firewall separation. Fire Safety 2022-02-01 2022-03-31 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-02-01 2022-03-31 N
Install proper backup exit lighting. Fire Safety 2022-02-01 2022-03-31 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-02-01 2022-03-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-02-01 2022-03-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-02-01 2022-03-31 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-02-01 2022-03-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-02-01 2022-03-31 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-02-01 2022-03-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-02-01 2022-03-31 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-02-01 2022-03-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-02-01 2022-03-31 N

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