A list of the most recent deficiencies for Pleasant View Luther Home. 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 | 2024-01-31 | 2024-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-31 | 2024-02-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-31 | 2024-02-16 | 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 | 2024-01-31 | 2024-02-16 | 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 | 2024-01-31 | 2024-02-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-06 | 2024-02-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-06 | 2024-02-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-06 | 2024-02-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-02-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-02 | 2023-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-02 | 2023-03-03 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-03 | 2022-12-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-04 | 2022-12-08 | 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 | 2022-11-04 | 2022-12-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-04 | 2022-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-04 | 2022-12-08 | 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 | 2022-11-04 | 2022-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-04 | 2022-12-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-04 | 2022-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-04 | 2022-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-04 | 2022-12-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-04 | 2022-12-08 | 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 | 2022-11-04 | 2022-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-04 | 2022-12-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-11-03 | 2022-12-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-03 | 2022-12-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-03 | 2022-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-03 | 2022-12-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-17 | 2022-11-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-17 | 2022-11-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-17 | 2022-11-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-30 | 2021-11-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-30 | 2021-11-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-30 | 2021-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-30 | 2021-10-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-09-30 | 2021-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-10 | 2021-09-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-09-10 | 2021-09-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-10 | 2021-09-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-09-10 | 2021-09-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-20 | 2021-09-03 | Y |
| 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 | 2021-07-20 | 2021-09-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-07-20 | 2021-09-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-20 | 2021-09-03 | Y |
