A list of the most recent deficiencies for Salem 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? |
---|---|---|---|---|
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-06 | 2023-06-26 | N |
Respond appropriately to all alleged violations. | Health | 2023-06-06 | 2023-06-26 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-06 | 2023-06-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-06 | 2023-06-26 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-06 | 2023-06-26 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-06 | 2023-06-26 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-06 | 2023-06-26 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-06 | 2023-06-26 | N |
Provide and implement an infection prevention and control program. | Health | 2023-06-06 | 2023-06-26 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-06 | 2023-06-26 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-06 | 2023-06-26 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-06 | 2023-06-26 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-06 | 2023-06-26 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-06-26 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-06 | 2023-06-26 | Y |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-06-07 | 2023-06-21 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-06-07 | 2023-06-20 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-07 | 2023-06-16 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-07 | 2023-06-09 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-07 | 2023-06-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-07 | 2023-06-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-06-07 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-01 | 2022-09-02 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-01 | 2022-09-02 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-04-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-14 | 2022-04-18 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-24 | 2022-04-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-04-18 | Y |
Use approved construction type or materials. | Fire Safety | 2022-02-22 | 2022-03-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-22 | 2022-03-08 | 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 | 2022-02-22 | 2022-03-04 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-02-22 | 2022-03-04 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-24 | 2022-03-03 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-22 | 2022-03-01 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-22 | 2022-02-28 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-02-24 | 2022-02-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-22 | 2022-02-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-22 | 2022-02-25 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-22 | 2022-02-25 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-22 | 2022-02-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-22 | 2022-02-25 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-24 | 2022-02-24 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-02-24 | 2022-02-24 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-24 | 2022-02-24 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-24 | 2022-02-24 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-24 | 2022-02-24 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-28 | 2021-09-29 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-28 | 2021-09-28 | Y |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-02-06 | 2020-02-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-06 | 2020-02-21 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-06 | 2020-02-21 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-06 | 2020-02-21 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-02-06 | 2020-02-20 | N |
Conduct testing and exercise requirements. | Fire Safety | 2020-02-06 | 2020-02-20 | 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 | 2020-02-06 | 2020-02-18 | N |
Use approved construction type or materials. | Fire Safety | 2020-02-06 | 2020-02-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-06 | 2020-02-17 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-06 | 2020-02-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-06 | 2020-02-17 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-01-30 | 2020-02-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-02-14 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-01-30 | 2020-02-14 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-30 | 2020-02-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-02-14 | 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 | 2020-01-30 | 2020-02-14 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-30 | 2020-02-14 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-30 | 2020-02-11 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-02-06 | 2020-02-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-06 | 2020-02-06 | N |