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Deficiency Records for Luther Manor at Hillcrest
View the most recent health deficiencies and inspection results for Luther Manor at Hillcrest. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Luther Manor at Hillcrest. 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 | 2026-02-12 | 2026-03-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-12 | 2026-03-06 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2026-02-12 | 2026-03-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-12 | 2026-03-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-12 | 2026-03-06 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2026-02-12 | 2026-03-06 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-02-12 | 2026-03-06 | N |
| Post nurse staffing information every day. | Health | 2026-02-12 | 2026-03-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-12 | 2026-03-06 | 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 | 2026-02-12 | 2026-03-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-02-12 | 2026-03-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-02-12 | 2026-03-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-12 | 2026-02-13 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2026-02-12 | 2026-02-06 | 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 | 2026-02-12 | 2026-02-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-10-23 | 2025-10-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-09-18 | 2025-10-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-18 | 2025-09-01 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-12-30 | 2025-01-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-30 | 2025-01-23 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-17 | 2024-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-17 | 2024-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-17 | 2024-10-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-10-17 | 2024-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-17 | 2024-10-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-10-17 | 2024-10-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-14 | 2024-08-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-02 | 2023-11-13 | Y |
| 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 | 2023-11-02 | 2023-11-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-25 | 2023-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-25 | 2023-10-10 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-09-25 | 2023-10-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-25 | 2023-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-25 | 2023-10-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-25 | 2023-10-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-09-25 | 2023-10-03 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-09-25 | 2023-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-25 | 2023-10-03 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-09-25 | 2023-09-29 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-25 | 2023-09-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-25 | 2023-09-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-25 | 2023-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-25 | 2023-09-28 | N |