Deficiency Records for Perry Lutheran Home

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Updated as of March 01, 2024

A list of the most recent deficiencies for Perry Lutheran 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-21 2023-11-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-21 2023-11-22 Y
Respond appropriately to all alleged violations. Health 2023-11-21 2023-11-22 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-29 2023-04-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-29 2023-04-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-29 2023-04-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-03-29 2023-04-04 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-03-29 2023-04-03 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2023-03-23 2023-03-31 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-03-29 2023-03-31 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-03-29 2023-03-31 N
Provide a written emergency evacuation plan. Fire Safety 2023-03-29 2023-03-31 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-29 2023-03-31 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-03-29 2023-03-30 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-12-06 2021-12-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-12-06 2021-12-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-12-06 2021-12-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-12-06 2021-12-17 N
Have proper medical gas storage and administration areas. Fire Safety 2021-12-06 2021-12-17 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-12-06 2021-12-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-12-06 2021-12-06 N
Assess the resident when there is a significant change in condition Health 2019-07-11 2019-07-30 N
Ensure each resident receives an accurate assessment. Health 2019-07-11 2019-07-30 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-07-11 2019-07-30 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 2019-07-11 2019-07-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-07-11 2019-07-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-07-11 2019-07-30 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-07-11 2019-07-30 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 2019-07-11 2019-07-30 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2019-07-11 2019-07-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-07-11 2019-07-30 N
Provide and implement an infection prevention and control program. Health 2019-07-11 2019-07-30 N
Have exits that are accessible at all times. Fire Safety 2019-07-18 2019-07-30 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2019-07-18 2019-07-30 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2019-07-18 2019-07-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-07-18 2019-07-30 N
Provide properly protected cooking facilities. Fire Safety 2019-07-18 2019-07-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-21 Not Fixed Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-21 Not Fixed Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-21 Not Fixed Y