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Deficiency Records for Lutheran Home of Southbury Inc
View the most recent health deficiencies and inspection results for Lutheran Home of Southbury Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Home of Southbury Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-01 | 2026-01-08 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-01 | 2026-01-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-12-01 | 2026-01-08 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-06-17 | 2025-07-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-17 | 2025-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-17 | 2025-07-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-17 | 2025-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-17 | 2025-07-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-17 | 2025-07-29 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2025-06-17 | 2025-07-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-06-17 | 2025-07-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-17 | 2025-07-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-17 | 2025-07-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-06-17 | 2025-07-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-06-17 | 2025-07-17 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2025-06-17 | 2025-07-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-06-17 | 2025-07-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-06-17 | 2025-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-17 | 2025-07-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-06-17 | 2025-07-17 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2025-06-17 | 2025-07-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-05 | 2025-03-18 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-02-05 | 2025-01-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-23 | 2024-11-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-23 | 2024-09-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-23 | 2024-09-06 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Meet other general requirements. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-29 | 2023-10-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-29 | 2023-10-11 | 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 |
| Observe each nurse aide's job performance and give regular training. | 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 |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | 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 |
| 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 |
| Respond appropriately to all alleged violations. | Health | 2023-08-29 | 2023-10-10 | 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 |
| 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 |
| 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 |