Deficiency Records for Tweeten Lutheran Health Care Center
Updated as of August 01, 2018
This is not the most recent data for Tweeten Lutheran Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Tweeten Lutheran Health Care Center. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-04 | 2018-01-12 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2017-12-04 | 2018-01-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2017-12-04 | 2018-01-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-04 | 2018-01-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2017-12-04 | 2018-01-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2017-12-04 | 2018-01-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-04 | 2018-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-04 | 2018-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-04 | 2018-01-12 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2017-12-04 | 2018-01-12 | 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 | 2017-12-04 | 2018-01-12 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2017-12-04 | 2018-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-04 | 2018-01-12 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2017-12-04 | 2017-12-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-04 | 2017-06-01 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-10-26 | 2016-12-12 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-26 | 2016-12-05 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-10-26 | 2016-12-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-26 | 2016-12-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-10-26 | 2016-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-17 | 2016-03-28 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2015-11-05 | 2015-12-15 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-11-05 | 2015-12-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-11-05 | 2015-12-15 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-11-05 | 2015-12-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-05 | 2015-12-15 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-11-05 | 2015-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-05 | 2015-12-15 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-11-05 | 2015-12-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-11-05 | 2015-12-15 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-11-05 | 2015-12-15 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-11-04 | 2015-12-08 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-11-04 | 2015-12-08 | N |
