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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?
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2025-03-12 2025-04-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-03-12 2025-04-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-03-12 2025-03-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-02-12 2025-03-06 Y
Provide properly protected cooking facilities. Fire Safety 2024-01-25 2024-03-01 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-01-25 2024-02-29 N
Ensure medication error rates are not 5 percent or greater. Health 2024-01-25 2024-02-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-01-25 2024-02-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-25 2024-02-14 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-01-25 2024-02-09 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-01-25 2024-02-09 N
Have proper medical gas storage and administration areas. Fire Safety 2024-01-25 2024-02-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-01-25 Not Fixed N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2026-05-12 Not Fixed N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2026-05-12 Not Fixed N

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