A list of the most recent deficiencies for Lutheran Retirement 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? |
---|---|---|---|---|
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 |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-14 | 2023-01-14 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-14 | 2023-01-14 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-14 | 2023-01-14 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-08 | 2023-01-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-14 | 2022-12-22 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-14 | 2022-12-22 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-14 | 2022-12-22 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-12-14 | 2022-12-15 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-20 | 2021-05-26 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-20 | 2021-05-12 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2021-04-20 | 2021-04-30 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-20 | 2021-04-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-20 | 2021-04-26 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-20 | 2021-04-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-20 | 2021-04-23 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-06-20 | 2019-07-25 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-21 | 2019-07-21 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-06-21 | 2019-07-21 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-21 | 2019-07-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-21 | 2019-07-21 | N |