Deficiency Records for St Luke's Nursing Center Inc

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Updated as of May 01, 2024

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Deficiency Records for St Luke's Nursing Center Inc

A list of the most recent deficiencies for St Luke's Nursing Center Inc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for St Luke's Nursing Center Inc. 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?
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
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
Use approved construction type or materials. 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
Inspect, test, and maintain automatic sprinkler systems. 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
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-17 2023-08-30 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 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
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
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
Have enough outside ventilation via a window or mechanical ventilation, or both. Health 2020-02-11 2020-04-03 N
Use approved construction type or materials. Fire Safety 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
Ensure proper usage of power strips and extension cords. Fire Safety 2020-02-11 2020-04-03 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 2019-02-25 2019-04-01 N
Ensure medication error rates are not 5 percent or greater. Health 2019-02-25 2019-04-01 N
Ensure that residents are free from significant medication errors. Health 2019-02-25 2019-04-01 N
Use approved construction type or materials. Fire Safety 2019-02-25 2019-04-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-02-25 2019-04-01 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-02-25 2019-04-01 N
Have proper medical gas storage and administration areas. Fire Safety 2019-02-25 2019-04-01 N

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