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Deficiency Records for Lutheran Community Home
View the most recent health deficiencies and inspection results for Lutheran Community Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Community Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-12-05 | 2026-02-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-12-05 | 2026-01-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-05 | 2026-01-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-12-05 | 2026-01-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-05 | 2026-01-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-05 | 2026-01-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-12-05 | 2026-01-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-05 | 2026-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-05 | 2026-01-09 | 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 | 2025-12-05 | 2026-01-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-05 | 2026-01-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-05 | 2026-01-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-12-05 | 2026-01-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-05 | 2026-01-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-23 | 2025-11-28 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-13 | 2024-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-13 | 2024-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-13 | 2024-10-08 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-09-13 | 2024-10-08 | 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 | 2024-09-13 | 2024-10-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-13 | 2024-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-25 | 2023-08-23 | 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 | 2023-07-25 | 2023-08-23 | 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 | 2023-07-25 | 2023-08-23 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-07-25 | 2023-08-23 | 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 | 2023-07-25 | 2023-08-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-25 | 2023-08-18 | 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 | 2023-07-25 | 2023-08-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Meet other general requirements. | Fire Safety | 2023-07-25 | 2023-08-18 | N |