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Deficiency Records for Lutheran Convalescent Home
View the most recent health deficiencies and inspection results for Lutheran Convalescent Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Convalescent Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-07 | 2024-12-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-07 | 2024-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-07 | 2024-12-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-07 | 2024-12-22 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-11-07 | 2024-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-07 | 2024-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-07 | 2024-12-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-07 | 2024-12-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-07 | 2024-12-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-11-07 | 2024-12-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-10 | 2023-09-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-10 | 2023-09-15 | 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 | 2023-08-10 | 2023-09-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-10 | 2023-09-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-10 | 2023-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-10 | 2023-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-09-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-13 | 2019-10-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-13 | 2019-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-13 | 2019-10-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-13 | 2019-10-25 | N |