CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for St Luke's Nursing and Rehabilitation
View the most recent health deficiencies and inspection results for St Luke's Nursing and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for St Luke's Nursing and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-09 | 2025-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-09 | 2025-06-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-09 | 2025-06-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-05-09 | 2025-06-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-09 | 2025-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-09 | 2025-06-20 | N |
| Provide activities to meet all resident's needs. | Health | 2025-05-09 | 2025-06-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-09 | 2025-06-20 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-05-09 | 2025-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-09 | 2024-11-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-07-17 | 2023-08-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-07-17 | 2023-08-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-17 | 2023-08-30 | 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 | 2023-07-17 | 2023-08-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-17 | 2023-08-30 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-07-17 | 2023-08-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-17 | 2023-08-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-17 | 2023-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-17 | 2023-08-30 | 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 | 2020-02-11 | 2020-04-03 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2020-02-11 | 2020-04-03 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2020-02-11 | 2020-04-03 | 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 | 2020-02-11 | 2020-04-03 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-11 | 2020-04-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-11 | 2020-04-03 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-11 | 2020-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-11 | 2020-04-03 | N |