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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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