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Deficiency Records for Luther Home
A list of the most recent deficiencies for Luther 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 Luther 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-01-17 | 2024-02-17 | Y |
| 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 | 2023-09-14 | 2023-10-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-07 | 2023-07-07 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-07 | 2023-07-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-07 | 2023-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-07 | 2023-07-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-07 | 2023-07-07 | 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 | 2023-06-07 | 2023-07-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-07 | 2023-07-07 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-01-06 | 2023-02-06 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-07-05 | 2022-08-02 | 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 | 2022-07-05 | 2022-08-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-05 | 2022-08-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-05 | 2022-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-05 | 2022-08-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-05 | 2022-08-02 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-07-05 | 2022-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-05 | 2022-08-02 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-05 | 2022-08-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-27 | 2022-08-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-27 | 2022-08-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-27 | 2022-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-27 | 2022-08-02 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-06-27 | 2022-08-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-19 | 2021-06-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-19 | 2021-06-19 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-19 | 2021-06-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-19 | 2021-06-19 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-05-19 | 2021-06-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-19 | 2021-06-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-05-19 | 2021-06-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-19 | 2021-06-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-05-19 | 2021-06-19 | 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 | 2021-05-20 | 2021-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-20 | 2021-06-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-20 | 2021-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-20 | 2021-06-19 | N |
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