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Deficiency Records for Faith Lutheran Home
View the most recent health deficiencies and inspection results for Faith Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Faith Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-11-19 | 2025-06-04 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-04-23 | 2025-05-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-04-23 | 2025-05-15 | 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 | 2025-04-23 | 2025-05-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-23 | 2025-05-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-04-23 | 2025-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-23 | 2025-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-23 | 2025-05-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-23 | 2025-05-15 | N |
| Meet the legal definition of a skilled nursing facility or nursing facility. | Health | 2025-03-13 | 2025-04-11 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-03-13 | 2025-04-11 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-03-13 | 2025-04-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-12-03 | 2024-12-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-03 | 2024-12-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-12-03 | 2024-12-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-08 | 2024-06-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-08 | 2024-06-07 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-05-08 | 2024-06-07 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-05-08 | 2024-06-07 | 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 | 2024-05-08 | 2024-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-08 | 2024-06-07 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-23 | 2023-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-23 | 2023-06-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-05-23 | 2023-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-23 | 2023-06-15 | N |