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Deficiency Records for Lutheran Living Senior Campus
View the most recent health deficiencies and inspection results for Lutheran Living Senior Campus. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Living Senior Campus. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-13 | 2026-03-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-13 | 2026-03-18 | 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 | 2026-02-13 | 2026-03-13 | N |
| Post nurse staffing information every day. | Health | 2026-02-13 | 2026-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-13 | 2026-02-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-13 | 2026-02-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-02-13 | 2026-02-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2026-02-13 | 2026-02-09 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-08-07 | 2025-09-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-07 | 2025-09-02 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-07 | 2025-09-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-07 | 2025-09-02 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-08-07 | 2025-09-02 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2025-08-07 | 2025-09-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-06 | 2025-03-13 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-12 | 2025-01-16 | 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 | 2024-12-12 | 2025-01-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-12-12 | 2024-12-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-12 | 2024-12-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-12 | 2024-12-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-12-12 | 2024-12-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-12 | 2024-12-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-30 | 2024-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-30 | 2024-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-31 | 2024-10-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-30 | 2024-10-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-30 | 2024-10-20 | Y |
| Post nurse staffing information every day. | Health | 2023-10-05 | 2023-11-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-05 | 2023-11-13 | Y |
| 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 | 2023-10-05 | 2023-11-13 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-10-05 | 2023-11-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-05 | 2023-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-05 | 2023-11-13 | Y |
| 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 | 2023-10-05 | 2023-11-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-05 | 2023-11-13 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-10-05 | 2023-11-13 | 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 | 2023-10-05 | 2023-11-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-11-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-05 | 2023-11-13 | Y |
| 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 | 2023-10-05 | 2023-11-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-11-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-05 | 2023-11-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-05 | 2023-11-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-05 | 2023-11-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-05 | 2023-11-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-05 | 2023-11-13 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-05 | 2023-10-30 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-10-05 | 2023-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-05 | 2023-10-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-05 | 2023-10-30 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-10-05 | 2023-10-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-05 | 2023-10-05 | 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 | 2023-10-05 | 2023-10-03 | N |