Deficiency Records for Tweeten Lutheran Health Care Center
Updated as of September 01, 2020
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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-21 | 2020-01-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-21 | 2020-01-03 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-11-21 | 2020-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-21 | 2020-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2020-01-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-11-22 | 2019-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-22 | 2019-12-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-22 | 2019-12-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-26 | 2019-08-25 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-07-26 | 2019-08-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-14 | 2019-02-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-01-14 | 2019-02-21 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2019-01-14 | 2019-02-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-01-14 | 2019-02-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-14 | 2019-02-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-14 | 2019-02-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-01-14 | 2019-02-21 | Y |
| 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 | 2019-01-14 | 2019-02-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-14 | 2019-02-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-14 | 2019-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-14 | 2019-02-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-14 | 2019-02-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-01-14 | 2019-02-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-01-08 | 2019-02-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-08 | 2019-02-15 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-08 | 2019-02-06 | N |
| Be properly staffed | Fire Safety | 2019-01-08 | 2019-01-31 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-01-08 | 2019-01-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-08 | 2019-01-08 | N |
| 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 |
