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Deficiency Records for Salem Lutheran Home
View the most recent health deficiencies and inspection results for Salem Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Salem Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-15 | 2025-12-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-10-08 | 2025-10-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-26 | 2025-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-26 | 2025-07-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-26 | 2025-07-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-26 | 2025-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-26 | 2025-07-11 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-26 | 2025-07-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-06-26 | 2025-07-11 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-06-26 | 2025-07-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-22 | 2024-11-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-22 | 2024-11-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-11 | 2024-09-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-11 | 2024-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-11 | 2024-09-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-11 | 2024-09-05 | 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 | 2024-08-11 | 2024-09-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-11 | 2024-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-11 | 2024-09-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-11 | 2024-09-05 | 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 | 2024-08-11 | 2024-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-11 | 2024-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-11 | 2024-09-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-11 | 2024-09-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-11 | 2024-09-05 | 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 | 2024-08-11 | 2024-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-11 | 2024-08-28 | N |
| Have an externally vented heating system. | Fire Safety | 2024-08-11 | 2024-08-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-11 | 2024-08-28 | 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 | 2024-08-11 | 2024-08-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-11 | 2024-08-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-15 | 2024-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | 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 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 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 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 |
| Protect each resident from the wrongful use of the resident's belongings or money. | 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 |
| 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 |
| Respond appropriately to all alleged violations. | 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 | 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 | 2023-06-06 | 2023-06-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-06-06 | 2023-06-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-06 | 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 | 2023-06-06 | 2023-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-06 | 2023-06-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-06 | 2023-06-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-06 | 2023-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-06 | 2023-06-07 | N |