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Deficiency Records for Tweeten Lutheran Health Care Center
View the most recent health deficiencies and inspection results for Tweeten Lutheran Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Tweeten Lutheran Health Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-04-02 | 2026-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-02 | 2026-05-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-04-02 | 2026-05-11 | N |
| Provide or obtain dental services for each resident. | Health | 2026-04-02 | 2026-05-11 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2026-04-02 | 2026-05-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-04-02 | 2026-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-02 | 2026-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-02 | 2026-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-02 | 2026-05-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-04-02 | 2026-05-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2026-04-02 | 2026-05-11 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2026-04-02 | 2026-05-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-04-02 | 2026-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-19 | 2026-04-27 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-12-19 | 2026-03-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-19 | 2026-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-19 | 2026-03-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-12-19 | 2026-01-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-12-19 | 2026-01-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-19 | 2026-01-23 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-12-19 | 2026-01-23 | Y |
| Post nurse staffing information every day. | Health | 2025-12-19 | 2026-01-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-18 | 2025-08-15 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2025-01-09 | 2025-02-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-09 | 2025-02-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-01-09 | 2025-02-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-09 | 2025-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-09 | 2025-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-09 | 2025-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-09 | 2025-02-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-09 | 2025-02-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-09 | 2025-02-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-09 | 2025-02-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-01-09 | 2025-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-02 | 2025-01-02 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-12-02 | 2025-01-02 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-12-02 | 2025-01-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-21 | 2024-11-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-21 | 2024-11-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-21 | 2024-11-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-26 | 2023-11-20 | 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 | 2023-10-26 | 2023-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-26 | 2023-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-26 | 2023-11-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-26 | 2023-11-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-26 | 2023-11-14 | N |
| Keep all essential equipment working safely. | Health | 2023-07-11 | 2023-08-01 | Y |