Deficiency Records for Carroll Lutheran Village
Updated as of August 01, 2016
This is not the most recent data for Carroll Lutheran Village. For the most recent information, click here.
A list of the most recent deficiencies for Carroll Lutheran Village. 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? |
---|---|---|---|---|
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-03-11 | 2016-04-10 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-11 | 2016-04-10 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-03-11 | 2016-04-10 | Y |
Keep clinical record information safe. | Health | 2016-03-11 | 2016-04-10 | Y |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2015-10-21 | 2015-11-06 | Y |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-06-05 | 2015-09-02 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-06-05 | 2015-08-24 | N |
Keep residents' personal and medical records private and confidential. | Health | 2015-06-05 | 2015-08-24 | N |
Provide care for each resident in a way that maintains or improves their quality of life. | Health | 2015-06-05 | 2015-08-24 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-06-05 | 2015-08-24 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-06-05 | 2015-08-24 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-06-05 | 2015-08-24 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-06-05 | 2015-08-24 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-06-05 | 2015-08-24 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-06-05 | 2015-08-24 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-06-05 | 2015-08-24 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-06-05 | 2015-08-24 | N |
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-06-05 | 2015-08-24 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2015-06-05 | 2015-08-24 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-06-05 | 2015-08-24 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-06-05 | 2015-08-24 | N |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-06-05 | 2015-07-31 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-06-05 | 2015-07-31 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2015-06-05 | 2015-07-31 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-20 | 2015-05-14 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-03-20 | 2015-05-14 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-08-07 | 2014-09-30 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-08-07 | 2014-09-30 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-08-07 | 2014-09-30 | Y |
Provide housekeeping and maintenance services. | Health | 2014-06-26 | 2014-08-06 | Y |
Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-02-11 | 2014-03-31 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2014-02-11 | 2014-03-31 | Y |
Provide housekeeping and maintenance services. | Health | 2014-02-11 | 2014-03-31 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-02-11 | 2014-03-31 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-02-11 | 2014-03-31 | Y |
Store, cook, and serve food in a safe and clean way. | Health | 2014-02-11 | 2014-03-31 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-02-11 | 2014-03-31 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-11 | 2014-03-31 | Y |
Fire resistant room wall surfaces. | Fire Safety | 2014-02-06 | 2014-03-04 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-02-06 | 2014-03-04 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2014-02-06 | 2014-03-04 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-06 | 2014-03-04 | N |
Fire resistant room wall surfaces. | Fire Safety | 2012-12-27 | 2013-02-28 | N |
Portable fire extinguishers. | Fire Safety | 2012-12-27 | 2013-02-28 | N |
Other fire safety features required by fire safety codes. | Fire Safety | 2012-12-27 | 2013-02-28 | N |
Provide housekeeping and maintenance services. | Health | 2012-12-17 | 2013-01-31 | N |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2012-12-17 | 2013-01-31 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2012-12-17 | 2013-01-31 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2012-12-17 | 2013-01-31 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2012-12-17 | 2013-01-31 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2012-12-17 | 2013-01-31 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2012-12-17 | 2013-01-31 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2012-12-17 | 2013-01-31 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2012-12-17 | 2013-01-31 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2012-12-17 | 2013-01-31 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2012-12-17 | 2013-01-31 | N |
Keep all essential equipment working safely. | Health | 2012-12-17 | 2013-01-31 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2012-12-17 | 2013-01-31 | N |