A list of the most recent deficiencies for Lutheran Home of Southbury Inc. 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? |
|---|---|---|---|---|
| Establish emergency prep training and testing. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Meet other general requirements. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-08-30 | 2023-10-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-29 | 2023-10-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-29 | 2023-10-10 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-29 | 2023-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-29 | 2023-10-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-29 | 2023-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-29 | 2023-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-29 | 2023-10-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-08-29 | 2023-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-24 | 2021-10-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-20 | 2021-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-20 | 2021-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-20 | 2021-08-31 | 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 | 2021-07-20 | 2021-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-20 | 2021-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-20 | 2021-08-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-20 | 2021-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-20 | 2021-08-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-20 | 2021-08-31 | 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 | 2020-03-12 | 2020-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-11-10 | N |
