Deficiency Records for Strawberry Point Lutheran Home
Updated as of June 01, 2022
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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-30 | 2021-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-30 | 2021-12-08 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-30 | 2021-12-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-30 | 2021-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-30 | 2021-12-04 | 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 | 2021-11-30 | 2021-12-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-11-30 | 2021-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2021-12-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-23 | 2021-11-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-11-23 | 2021-11-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-11-23 | 2021-11-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-12 | 2020-09-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-08-12 | 2020-09-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-08-12 | 2020-09-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-12 | 2020-09-02 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-08 | 2020-01-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-08 | 2020-01-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-08 | 2020-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-16 | 2018-10-26 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-16 | 2018-10-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-11 | 2018-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-10-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-11 | 2018-10-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-16 | 2018-10-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-16 | 2018-10-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-16 | 2018-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-16 | 2018-10-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-16 | 2018-10-16 | N |
