Deficiency Records for Strawberry Point Lutheran Home
Updated as of September 01, 2016
This is not the most recent data for Strawberry Point Lutheran Home. For the most recent information, click here.
A list of the most recent deficiencies for Strawberry Point Lutheran 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? |
---|---|---|---|---|
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-01-05 | 2016-01-12 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-10-01 | 2015-10-30 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-10-01 | 2015-10-30 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-10-01 | 2015-10-30 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-01 | 2015-10-30 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-28 | 2015-10-29 | N |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-28 | 2015-10-29 | N |
Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-09-28 | 2015-10-29 | N |
Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-09-28 | 2015-10-29 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-28 | 2015-10-29 | N |
Proper medical gas storage and administration areas. | Fire Safety | 2015-09-28 | 2015-10-29 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-09-28 | 2015-10-29 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-04 | 2015-08-19 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-12 | 2015-04-01 | Y |
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-08-12 | 2014-09-12 | N |
Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-08-12 | 2014-09-12 | N |
Properly maintained smoke detectors. | Fire Safety | 2014-08-12 | 2014-09-12 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-08-12 | 2014-09-12 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2014-08-12 | 2014-09-12 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-08-07 | 2014-09-08 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-08-07 | 2014-09-08 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2013-05-21 | 2013-06-21 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-05-21 | 2013-06-21 | N |
Other fire safety features required by fire safety codes. | Fire Safety | 2013-05-21 | 2013-06-21 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2013-05-21 | 2013-06-21 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2013-05-16 | 2013-06-07 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2013-05-16 | 2013-06-07 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-05-16 | 2013-06-07 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2013-05-16 | 2013-06-07 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2013-05-16 | 2013-06-07 | N |
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2013-05-16 | 2013-06-07 | N |
1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2013-05-16 | 2013-06-07 | N |