CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lutheran Retirement Home
View the most recent health deficiencies and inspection results for Lutheran Retirement Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Retirement Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop a communication plan. | Fire Safety | 2026-02-26 | 2026-03-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2026-02-26 | 2026-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-26 | 2026-03-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-26 | 2026-03-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-02-26 | 2026-03-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-02-26 | 2026-03-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-02-26 | 2026-03-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2026-02-26 | 2026-02-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-30 | 2025-02-13 | N |
| Provide or obtain dental services for each resident. | Health | 2025-01-30 | 2025-02-04 | 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 | 2025-01-30 | 2025-01-31 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-01-30 | 2025-01-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-30 | 2025-01-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-30 | 2025-01-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-19 | 2024-09-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-19 | 2024-09-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-19 | 2024-09-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-19 | 2024-09-19 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-14 | 2024-04-05 | N |
| Establish methods for sharing information. | Fire Safety | 2024-03-14 | 2024-04-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-14 | 2024-04-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-14 | 2024-04-04 | 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 | 2024-03-14 | 2024-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-14 | 2024-04-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-14 | 2024-03-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-03-14 | 2024-03-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-14 | 2024-03-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-14 | 2024-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2023-12-04 | Y |