Deficiency Records for Good Shepherd Lutheran Home
Updated as of October 01, 2021
This is not the most recent data for Good Shepherd Lutheran Home. For the most recent information, click here.
A list of the most recent deficiencies for Good Shepherd Lutheran Home. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-15 | 2021-05-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-15 | 2021-05-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-05-29 | 2020-07-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-08 | 2020-06-25 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2020-05-29 | 2020-05-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-18 | 2020-03-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-16 | 2019-10-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-15 | 2019-09-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-15 | 2019-09-24 | 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 | 2019-08-15 | 2019-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-08-15 | 2019-09-12 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-11-01 | 2018-12-05 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-06-14 | 2018-07-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-14 | 2018-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-14 | 2018-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-07-20 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-13 | 2017-05-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-13 | 2017-05-23 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-13 | 2017-05-23 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-13 | 2017-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-13 | 2017-05-23 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-04-13 | 2017-05-23 | 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 | 2017-04-19 | 2017-05-17 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2017-04-19 | 2017-05-12 | N |
