Deficiency Records for Wellspring Lutheran Nursing and Rehab Services
Updated as of April 01, 2019
This is not the most recent data for Wellspring Lutheran Nursing and Rehab Services. For the most recent information, click here.
A list of the most recent deficiencies for Wellspring Lutheran Nursing and Rehab Services. 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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-17 | 2018-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-17 | 2018-08-17 | 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 | 2018-07-18 | 2018-08-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-18 | 2018-08-17 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2018-07-18 | 2018-08-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-18 | 2018-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-18 | 2018-08-17 | N |
| Dispose of garbage and refuse properly. | Health | 2018-07-18 | 2018-08-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-18 | 2018-08-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-05-24 | 2017-06-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-05-24 | 2017-06-15 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-05-25 | 2017-06-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-05-25 | 2017-06-15 | N |
| 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 | 2017-05-25 | 2017-06-15 | 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 | 2017-05-25 | 2017-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-25 | 2017-06-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-25 | 2017-06-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-25 | 2017-06-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-25 | 2017-06-15 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-06-08 | 2016-08-01 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-06-08 | 2016-08-01 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-08 | 2016-08-01 | N |
