CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lutheran Senior Services at Breeze Park
View the most recent health deficiencies and inspection results for Lutheran Senior Services at Breeze Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Senior Services at Breeze Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-05 | 2024-12-06 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-07 | 2024-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-07 | 2024-04-19 | 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 | 2024-03-07 | 2024-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-04-19 | 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 | 2024-03-07 | 2024-04-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-07 | 2024-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-07 | 2024-04-19 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-06-17 | 2022-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-17 | 2022-07-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-17 | 2022-07-29 | 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 | 2022-06-17 | 2022-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-07-29 | N |
| Meet other general requirements. | Fire Safety | 2022-06-17 | 2022-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-17 | 2022-07-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-17 | 2022-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-17 | 2022-07-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-17 | 2022-07-29 | 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 | 2022-06-17 | 2022-07-29 | 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 | 2022-06-17 | 2022-07-29 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-17 | 2022-07-29 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-06-17 | 2022-07-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-10-11 | 2019-11-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-11 | 2019-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-11 | 2019-11-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-11 | 2019-11-22 | 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 | 2019-10-11 | 2019-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-11 | 2019-11-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-10-11 | 2019-11-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-10-11 | 2019-11-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-11 | 2019-11-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-11 | 2019-11-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-10-11 | 2019-11-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-11 | 2019-08-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-17 | Not Fixed | N |