A list of the most recent deficiencies for Lutheran Life Villages. 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? |
---|---|---|---|---|
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-20 | 2023-03-03 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-20 | 2023-03-03 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-20 | 2023-03-03 | N |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-20 | 2023-03-03 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-09 | 2022-05-27 | Y |
Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-04-11 | 2022-04-29 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-11 | 2022-04-29 | 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 | 2022-04-11 | 2022-04-29 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-04-11 | 2022-04-29 | N |
Have an externally vented heating system. | Fire Safety | 2022-04-11 | 2022-04-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-11 | 2022-04-29 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-04-11 | 2022-04-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-11 | 2022-04-29 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-11 | 2022-04-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-08 | 2022-03-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-08 | 2022-03-30 | 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 | 2022-03-08 | 2022-03-30 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-08 | 2022-03-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-20 | 2021-08-06 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-07-30 | 2020-08-14 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-07-30 | 2020-08-14 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-07-30 | 2020-08-14 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-07-30 | 2020-08-14 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-07-30 | 2020-08-14 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-07-30 | 2020-08-14 | 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 | 2020-02-03 | 2020-03-01 | 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 | 2020-02-03 | 2020-03-01 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-03 | 2020-03-01 | N |