Deficiency Records for The Lutheran Home: Belle Plaine
Updated as of September 01, 2022
This is not the most recent data for The Lutheran Home: Belle Plaine. For the most recent information, click here.
A list of the most recent deficiencies for The Lutheran Home: Belle Plaine. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-31 | 2019-12-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-31 | 2019-12-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-15 | 2019-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-09-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-15 | 2019-09-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-08-15 | 2019-09-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-08-15 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-27 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-14 | 2019-09-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-08-14 | 2019-09-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-08-14 | 2019-09-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-14 | 2019-09-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-14 | 2019-09-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-09-20 | 2018-11-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-20 | 2018-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-20 | 2018-11-07 | 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 | 2018-09-20 | 2018-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-20 | 2018-11-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-20 | 2018-11-07 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-27 | 2017-08-25 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-07-27 | 2017-08-25 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-27 | 2017-08-25 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-07-27 | 2017-08-25 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-07-27 | 2017-08-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-27 | 2017-08-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-27 | 2017-08-25 | N |
