Deficiency Records for Wellspring Lutheran Services

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Updated as of May 01, 2024

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Deficiency Records for Wellspring Lutheran Services

A list of the most recent deficiencies for Wellspring Lutheran Services. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Wellspring Lutheran 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 2023-08-03 2023-09-18 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 2023-08-02 2023-09-14 N
Provide properly protected cooking facilities. Fire Safety 2023-08-02 2023-09-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-02 2023-09-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-02 2023-09-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-02 2023-09-14 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-07-26 2022-08-26 N
Have power receptacles that are properly grounded. Fire Safety 2022-07-26 2022-08-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-26 2022-08-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-07-26 2022-08-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-19 2021-05-24 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 2021-04-19 2021-05-24 N
Provide and implement an infection prevention and control program. Health 2021-04-19 2021-05-24 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-04-15 2021-05-19 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 2021-04-15 2021-05-19 N
Provide properly protected cooking facilities. Fire Safety 2021-04-15 2021-05-19 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-04-15 2021-05-19 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-04-15 2021-05-19 N

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