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Deficiency Records for Lutheran Nursing Home
View the most recent health deficiencies and inspection results for Lutheran Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2026-04-09 | 2026-05-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-04-09 | 2026-05-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-04-09 | 2026-05-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-04-09 | 2026-05-20 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2025-08-01 | 2025-09-15 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-08-01 | 2025-09-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-08-01 | 2025-09-15 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2025-08-01 | 2025-09-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-08-01 | 2025-09-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-08-01 | 2025-09-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2025-08-01 | 2025-09-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-01 | 2025-09-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-08-01 | 2025-09-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-08-01 | 2025-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-01 | 2025-09-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-01 | 2025-09-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-08-01 | 2025-09-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-01 | 2025-09-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-01 | 2025-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-08 | 2024-06-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-06 | 2024-06-04 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-11-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-28 | 2023-11-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-11-14 | 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 | 2023-09-28 | 2023-11-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-09-28 | 2023-11-14 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-13 | 2022-05-28 | N |
| Report COVID19 data to residents and families. | Health | 2022-04-13 | 2022-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-13 | 2022-05-28 | N |
| Provide or obtain dental services for each resident. | Health | 2022-04-13 | 2022-05-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-04-13 | 2022-05-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-13 | 2022-05-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-13 | 2022-05-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-13 | 2022-05-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-13 | 2022-05-28 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-13 | 2022-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-13 | 2022-05-28 | N |