Deficiency Records for Wellspring Lutheran Services
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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