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Deficiency Records for Luther Oaks
View the most recent health deficiencies and inspection results for Luther Oaks. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Luther Oaks. 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 | 2025-11-05 | 2025-12-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-11-05 | 2025-12-05 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-01 | 2024-09-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-01 | 2024-09-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-01 | 2024-09-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-01 | 2024-09-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-01 | 2024-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-01 | 2024-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-01 | 2024-09-15 | 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 | 2024-08-01 | 2024-09-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-08-01 | 2024-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-09-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-01 | 2024-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-01 | 2024-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-17 | 2024-02-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-29 | 2024-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-29 | 2024-02-21 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-02 | 2023-12-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-02 | 2023-09-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-02 | 2023-09-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-02 | 2023-09-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-02 | 2023-09-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-02 | 2023-09-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-02 | 2023-09-07 | N |
| Develop a communication plan. | Fire Safety | 2023-08-02 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-02 | 2023-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-02 | 2023-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-09-05 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-08-02 | 2023-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-02 | 2023-08-31 | 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 | 2023-08-02 | 2023-08-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-22 | 2022-08-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-22 | 2022-08-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-06-22 | 2022-08-15 | N |
| Develop a communication plan. | Fire Safety | 2022-06-22 | 2022-08-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-06-22 | 2022-08-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-22 | 2022-08-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-22 | 2022-08-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-22 | 2022-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-22 | 2022-07-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-22 | 2022-07-19 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-06-22 | 2022-07-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-22 | 2022-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-22 | 2022-07-07 | N |