Deficiency Records for Lutheran Convalescent Home
Updated as of November 01, 2020
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? |
---|---|---|---|---|
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 other general requirements that are deficient. | 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 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 other general requirements that are deficient. | 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 |
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 |
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-10-11 | 2018-10-18 | N |
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 |