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Deficiency Records for Spiritrust Lutheran The Village at Luther Ridge
A list of the most recent deficiencies for Spiritrust Lutheran The Village at Luther Ridge. 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 Spiritrust Lutheran The Village at Luther Ridge. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-25 | 2024-09-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-25 | 2024-09-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-25 | 2024-09-09 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-25 | 2024-09-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-25 | 2024-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-25 | 2024-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-10 | 2024-08-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-10 | 2024-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-10 | 2024-08-09 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-27 | 2023-11-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-14 | 2023-11-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-14 | 2023-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-11-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-11-07 | 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 | 2023-09-14 | 2023-11-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-14 | 2023-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-11-07 | 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 | 2023-09-14 | 2023-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-29 | 2022-10-25 | 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 | 2022-09-22 | 2022-10-14 | 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 | 2022-09-22 | 2022-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-22 | 2022-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-22 | 2022-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-22 | 2022-10-07 | N |
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