Deficiency Records for Carroll Lutheran Village
Updated as of May 01, 2017
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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-27 | 2017-03-12 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-27 | 2017-03-12 | Y |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-27 | 2017-03-10 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-27 | 2017-03-10 | Y |
Give residents a notice of rights, rules, services and charges. | Health | 2016-06-27 | 2016-08-26 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-27 | 2016-08-26 | Y |
Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-06-27 | 2016-08-26 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-27 | 2016-08-26 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-27 | 2016-08-26 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2016-06-27 | 2016-08-26 | Y |
Provide housekeeping and maintenance services. | Health | 2016-06-27 | 2016-08-26 | Y |
Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-06-27 | 2016-08-26 | Y |
Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-06-27 | 2016-08-26 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-06-27 | 2016-08-26 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-27 | 2016-08-26 | Y |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-27 | 2016-08-26 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-27 | 2016-08-26 | Y |
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-06-27 | 2016-08-26 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-27 | 2016-08-26 | Y |
Ensure residents maintain acceptable nutritional status. | Health | 2016-06-27 | 2016-08-26 | Y |
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 | 2016-06-27 | 2016-08-26 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-06-27 | 2016-08-26 | Y |
Post nurse staffing information/data on a daily basis. | Health | 2016-06-27 | 2016-08-26 | Y |
Store, cook, and serve food in a safe and clean way. | Health | 2016-06-27 | 2016-08-26 | Y |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-06-27 | 2016-08-26 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-27 | 2016-08-26 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-06-27 | 2016-08-26 | Y |
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2016-06-27 | 2016-08-26 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-27 | 2016-08-26 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-06-27 | 2016-08-26 | Y |
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 |
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 |
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 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2014-02-11 | 2014-03-31 | N |
Provide housekeeping and maintenance services. | Health | 2014-02-11 | 2014-03-31 | N |
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 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-02-11 | 2014-03-31 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-02-11 | 2014-03-31 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-02-11 | 2014-03-31 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-11 | 2014-03-31 | N |