CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Luther Manor Retirement and Nursing Center
View the most recent health deficiencies and inspection results for Luther Manor Retirement and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Luther Manor Retirement and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Establish policies and procedures for medical documentation. | Fire Safety | 2025-10-02 | 2026-01-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-10-02 | 2026-01-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-10-02 | 2026-01-02 | N |
| Establish methods for sharing information. | Fire Safety | 2025-10-02 | 2026-01-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-10-02 | 2026-01-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-10-02 | 2025-12-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-10-02 | 2025-12-05 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-10-02 | 2025-12-05 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-10-02 | 2025-12-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-10-02 | 2025-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-10-02 | 2025-12-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-10-02 | 2025-12-05 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-10-02 | 2025-12-05 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-10-02 | 2025-12-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-10-02 | 2025-12-05 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-10-02 | 2025-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Meet other general requirements. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-10-02 | 2025-12-05 | 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 | 2025-10-02 | 2025-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-10-02 | 2025-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-02 | 2025-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-23 | 2025-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-23 | 2025-08-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-23 | 2025-07-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-16 | 2025-07-14 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-18 | 2023-12-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-18 | 2023-12-01 | 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 | 2023-10-18 | 2023-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-18 | 2023-12-01 | 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 | 2023-10-18 | 2023-12-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-18 | 2023-12-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-18 | 2023-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-18 | 2023-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-12-01 | 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 | 2023-10-18 | 2023-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-18 | 2023-12-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-07 | 2020-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-07 | 2020-03-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-07 | 2020-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-07 | 2020-03-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-02-07 | 2020-03-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-07 | 2020-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-07 | 2020-03-13 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-07 | 2020-03-13 | N |