A list of the most recent deficiencies for Lutheran Convalescent Home. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 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 |
| 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 |
| 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 |
| Inspect, test, and maintain automatic sprinkler systems. | 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 |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-10 | 2023-09-15 | N |
| Install an approved automatic sprinkler system. | 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 |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-13 | 2019-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-13 | 2019-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-11 | 2018-11-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-11 | 2018-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-11 | 2018-11-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-11 | 2018-11-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-11 | 2018-11-20 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-11 | 2018-11-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-10-11 | 2018-11-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-11 | 2018-11-20 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-10-11 | 2018-10-18 | N |
