Deficiency Records for Carroll Lutheran Village
Updated as of August 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 |
| 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 |
