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Deficiency Records for Good Shepherd Lutheran Home
View the most recent health deficiencies and inspection results for Good Shepherd Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Good Shepherd Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-04-17 | 2025-06-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-04-17 | 2025-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-17 | 2025-06-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-17 | 2025-06-11 | 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 | 2025-04-17 | 2025-06-11 | N |
| Post nurse staffing information every day. | Health | 2025-04-17 | 2025-06-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-17 | 2025-06-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-17 | 2025-06-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-04-17 | 2025-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-17 | 2025-05-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-02 | 2024-06-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-05-02 | 2024-06-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-02 | 2024-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-02 | 2024-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-02 | 2024-06-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-02 | 2024-06-12 | 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 | 2024-05-02 | 2024-06-12 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-02 | 2024-06-12 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-02 | 2024-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-23 | 2023-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-05-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-23 | 2023-05-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-23 | 2023-05-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-23 | 2023-05-08 | 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 | 2023-03-23 | 2023-05-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-23 | 2023-05-08 | N |