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Deficiency Records for Concordia Lutheran Health and Human Care
A list of the most recent deficiencies for Concordia Lutheran Health and Human Care. 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 Concordia Lutheran Health and Human Care. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-12 | 2024-10-14 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-29 | 2024-10-14 | 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 | 2024-08-29 | 2024-10-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-29 | 2024-10-14 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-29 | 2024-10-14 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-08-29 | 2024-10-14 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-29 | 2024-10-14 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-08-29 | 2024-10-14 | 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 | 2024-08-29 | 2024-10-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-29 | 2024-10-14 | N |
Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-10-14 | N |
Meet other general requirements. | Fire Safety | 2024-08-29 | 2024-09-11 | N |
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-08-29 | 2024-09-11 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-29 | 2024-09-11 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-12 | 2024-07-24 | Y |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-12 | 2024-07-24 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-10-20 | 2023-11-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-11-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-20 | 2023-11-24 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-20 | 2023-11-24 | N |
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-10-20 | 2023-11-24 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2023-10-20 | 2023-11-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-11-24 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-20 | 2023-11-24 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-10-19 | 2023-11-13 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-19 | 2023-11-13 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-20 | 2022-11-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-20 | 2022-11-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-20 | 2022-11-29 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-20 | 2022-11-29 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-20 | 2022-11-29 | N |
Meet other general requirements. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-10-25 | 2022-11-18 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-13 | Not Fixed | Y |
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