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Deficiency Records for Wellspring Lutheran Services
View the most recent health deficiencies and inspection results for Wellspring Lutheran Services. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Wellspring Lutheran Services. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-14 | 2025-09-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-08-14 | 2025-09-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-14 | 2025-09-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-14 | 2025-09-23 | Y |
| 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 | 2025-08-14 | 2025-09-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-14 | 2025-09-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-14 | 2025-09-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-08-14 | 2025-09-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-08-14 | 2025-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-14 | 2025-09-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-14 | 2025-09-23 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-08-14 | 2025-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-14 | 2025-09-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-14 | 2025-09-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-25 | 2024-08-28 | Y |
| 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 | 2024-07-25 | 2024-08-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-25 | 2024-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-25 | 2024-08-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-25 | 2024-08-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-25 | 2024-08-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-25 | 2024-08-28 | 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 | 2024-07-25 | 2024-08-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-25 | 2024-08-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-25 | 2024-08-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-25 | 2024-08-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-25 | 2024-08-28 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-07-25 | 2024-08-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-25 | 2024-08-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-25 | 2024-08-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-25 | 2024-08-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-04 | 2023-11-27 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-08-04 | 2023-09-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-04 | 2023-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-04 | 2023-09-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-04 | 2023-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-04 | 2023-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-04 | 2023-09-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-04 | 2023-09-12 | 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 | 2023-08-04 | 2023-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-04 | 2023-09-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-08-04 | 2023-09-12 | N |