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Deficiency Records for Lutheran Hillside Village
View the most recent health deficiencies and inspection results for Lutheran Hillside Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Hillside Village. 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 | 2025-10-15 | 2025-10-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-02-05 | 2025-03-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-05 | 2025-03-12 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-12-13 | 2024-12-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-12-13 | 2024-12-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-12-13 | 2024-12-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-13 | 2024-12-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-13 | 2024-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-13 | 2024-12-19 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-12-13 | 2024-12-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-08 | 2023-11-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-08 | 2023-11-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-11-08 | 2023-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-26 | 2023-02-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-01-26 | 2023-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-01-26 | 2023-02-23 | 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 | 2023-01-26 | 2023-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-02-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-26 | 2023-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-26 | 2023-02-13 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-01-26 | 2023-02-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-26 | 2023-02-13 | N |