Deficiency Records for Lutheran Convalescent Home
Updated as of February 01, 2018
This is not the most recent data for Lutheran Convalescent Home. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-11-14 | 2017-12-29 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-11-14 | 2017-12-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-11-14 | 2017-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-11-14 | 2017-12-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-11-14 | 2017-12-29 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-11-14 | 2017-12-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-11-14 | 2017-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-14 | 2017-12-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-14 | 2017-12-29 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-11-04 | 2016-12-30 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-04 | 2016-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-04 | 2016-12-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-04 | 2016-12-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-11-04 | 2016-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-11-04 | 2016-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-11-04 | 2016-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-04 | 2016-12-19 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2016-11-04 | 2016-12-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-04 | 2016-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-28 | 2015-10-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-28 | 2015-10-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-08-28 | 2015-10-08 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-08-28 | 2015-10-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-08-28 | 2015-10-08 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-28 | 2015-09-30 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-08-28 | 2015-09-30 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-28 | 2015-09-30 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-08-28 | 2015-09-30 | N |
| Try to resolve each resident's complaints quickly. | Health | 2015-08-28 | 2015-09-30 | N |
