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Deficiency Records for St Luke Living Center
View the most recent health deficiencies and inspection results for St Luke Living Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Luke Living Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-10-08 | 2026-01-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-10-08 | 2025-11-22 | 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 | 2025-10-08 | 2025-11-22 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-10-08 | 2025-11-22 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-10-08 | 2025-11-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-10-08 | 2025-11-22 | N |
| Post nurse staffing information every day. | Health | 2025-10-08 | 2025-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-10-08 | 2025-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-22 | 2024-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-22 | 2024-04-09 | 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 | 2024-02-22 | 2024-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-22 | 2024-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-22 | 2024-04-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-22 | 2024-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-22 | 2024-04-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-22 | 2024-04-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-22 | 2024-04-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-22 | 2024-04-01 | 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 | 2024-02-22 | 2024-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-22 | 2024-04-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-22 | 2024-04-01 | N |
| Post nurse staffing information every day. | Health | 2024-02-22 | 2024-04-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-22 | 2024-04-01 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-22 | 2024-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-22 | 2024-04-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-22 | 2024-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-21 | 2022-09-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-21 | 2022-09-23 | 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 | 2022-06-21 | 2022-07-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-06-21 | 2022-07-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-21 | 2022-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-21 | 2022-07-06 | N |