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Deficiency Records for Luling Care Center
A list of the most recent deficiencies for Luling Care Center. 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 Luling Care Center. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-11 | 2023-08-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-11 | 2023-08-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-11 | 2023-08-15 | Y |
| 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 | 2023-08-11 | 2023-08-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-11 | 2023-08-15 | Y |
| Have policies on smoking. | Health | 2023-08-11 | 2023-08-15 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-08-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-10 | 2023-08-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-10 | 2023-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-25 | 2023-01-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-25 | 2023-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-25 | 2023-01-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-01-25 | 2023-01-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-27 | 2022-09-28 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-24 | 2022-07-01 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-06-24 | 2022-07-01 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-24 | 2022-07-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-24 | 2022-07-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-06-24 | 2022-07-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-24 | 2022-07-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-21 | 2021-05-24 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-05-21 | 2021-05-24 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-05-21 | 2021-05-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-21 | 2021-05-24 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-21 | 2021-05-24 | 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 | 2021-05-21 | 2021-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-21 | 2021-05-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-05-24 | 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 | 2021-05-21 | 2021-05-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-21 | 2021-05-24 | 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 | 2021-05-21 | 2021-05-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-05-21 | 2021-05-24 | 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 | 2021-05-21 | 2021-05-24 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-05-21 | 2021-05-24 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-21 | 2021-05-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-21 | 2021-05-24 | N |
| Keep all essential equipment working safely. | Health | 2021-05-21 | 2021-05-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-21 | 2021-05-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-05-21 | 2021-05-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Meet other general requirements. | Fire Safety | 2021-05-19 | 2021-05-24 | 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 | 2021-05-19 | 2021-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-19 | 2021-05-24 | N |
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