Deficiency Records for St Johns Lutheran Home
Updated as of August 01, 2016
This is not the most recent data for St Johns Lutheran Home. For the most recent information, click here.
A list of the most recent deficiencies for St Johns 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 a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-11-05 | 2015-12-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-11-05 | 2015-12-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-05 | 2015-12-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-11-05 | 2015-12-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-11-05 | 2015-12-11 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-05 | 2015-12-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-03 | 2015-12-07 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-11-05 | 2015-12-03 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-11-03 | 2015-11-30 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-11-03 | 2015-11-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-10-21 | 2014-11-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-10-21 | 2014-11-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-10-23 | 2014-11-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-10-23 | 2014-11-05 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-10-21 | 2014-11-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-10-23 | 2014-10-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-10-21 | 2014-10-27 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-23 | 2014-06-02 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-04-23 | 2014-06-02 | Y |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-12-04 | 2014-01-31 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2013-12-05 | 2014-01-14 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2013-12-05 | 2014-01-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-12-05 | 2014-01-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-12-04 | 2013-12-27 | N |
| Properly constructed linen or trash chutes. | Fire Safety | 2013-12-04 | 2013-12-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-12-04 | 2013-12-04 | N |
