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Deficiency Records for Lutheran Home
A list of the most recent deficiencies for Lutheran 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 Lutheran 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? |
|---|---|---|---|---|
| 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 | 2024-03-14 | 2024-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-14 | 2024-04-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-14 | 2024-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-14 | 2024-04-14 | 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 | 2024-03-14 | 2024-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-14 | 2024-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-14 | 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 | 2024-03-12 | 2024-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-12 | 2024-03-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-12 | 2024-03-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-12 | 2024-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-12 | 2024-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-19 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-17 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-09 | 2023-01-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-09 | 2023-01-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-31 | 2021-09-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-31 | 2021-09-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-31 | 2021-09-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-31 | 2021-09-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-31 | 2021-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-31 | 2021-09-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-08-31 | 2021-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-23 | 2021-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-23 | 2021-09-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-23 | 2021-09-29 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-08-23 | Not Fixed | N |
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