CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lutheran Home For The Aged
View the most recent health deficiencies and inspection results for Lutheran Home For The Aged. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Home For The Aged. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-16 | 2025-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-16 | 2025-07-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-02 | 2025-07-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-30 | 2025-05-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-14 | 2025-05-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-02-21 | 2025-03-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-21 | 2025-03-07 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-11-21 | 2025-01-26 | 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 | 2024-11-21 | 2025-01-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-11-21 | 2025-01-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-07 | 2024-12-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-21 | 2024-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-21 | 2024-12-05 | 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 | 2024-11-21 | 2024-12-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-21 | 2024-12-05 | 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 | 2024-11-21 | 2024-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-21 | 2024-12-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-21 | 2024-12-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-21 | 2024-12-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-11-21 | 2024-12-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-21 | 2024-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-02 | 2024-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-28 | 2024-09-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-27 | 2024-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-18 | 2024-05-03 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-04-16 | 2024-05-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-02-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-24 | 2024-02-12 | Y |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-12-20 | 2024-02-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-12-20 | 2024-02-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-20 | 2024-01-13 | 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 | 2023-12-20 | 2024-01-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-20 | 2024-01-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-20 | 2024-01-13 | 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 | 2023-12-20 | 2024-01-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-20 | 2024-01-13 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-12-20 | 2024-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-20 | 2024-01-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-06 | 2023-12-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-06 | 2023-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-10 | 2023-10-25 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-21 | 2023-06-29 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-01-25 | 2023-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-25 | 2023-02-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-25 | 2023-02-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-01-25 | 2023-02-22 | N |
| 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 | 2023-01-25 | 2023-02-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-25 | 2023-02-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-25 | 2023-02-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-25 | 2023-02-22 | 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 | 2023-01-25 | 2023-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-25 | 2023-02-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-25 | 2023-02-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-25 | 2023-02-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-25 | 2023-02-22 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-01-25 | 2023-02-22 | 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 | 2023-01-25 | 2023-02-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-25 | 2023-02-22 | N |