Deficiency Records for Wellspring Lutheran Nursing and Rehab Services
Updated as of February 01, 2021
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-12-02 | 2021-01-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-10-15 | 2020-12-15 | 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 | 2020-10-15 | 2020-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-15 | 2020-12-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-10-15 | 2020-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-15 | 2020-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-10-15 | 2020-11-20 | 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 | 2020-10-15 | 2020-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-17 | 2019-07-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-17 | 2019-07-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-13 | 2019-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-13 | 2019-07-19 | N |
| 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 |
