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Deficiency Records for The Lutheran Village at Miller's Grant
View the most recent health deficiencies and inspection results for The Lutheran Village at Miller's Grant. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Lutheran Village at Miller's Grant. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2025-06-26 | 2025-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-26 | 2025-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-26 | 2025-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-26 | 2025-08-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-06-26 | 2025-08-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-26 | 2025-08-25 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-06-26 | 2025-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-26 | 2025-07-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-26 | 2025-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-02 | 2023-01-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-02 | 2023-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-02 | 2022-12-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-02 | 2022-12-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-02 | 2022-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-02 | 2022-12-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-02 | 2022-12-14 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2022-09-02 | 2022-12-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-02 | 2022-12-14 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-09-02 | 2022-10-31 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-02 | 2022-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-02 | 2022-10-31 | 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 | 2022-09-02 | 2022-10-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-02 | 2022-10-31 | N |
| Post nurse staffing information every day. | Health | 2022-09-02 | 2022-10-31 | 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 | 2022-09-02 | 2022-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-02 | 2022-10-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-02 | 2022-10-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-02 | 2022-10-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-02 | 2022-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-06-14 | N |