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Deficiency Records for Blue Valley Lutheran Nursing Home
View the most recent health deficiencies and inspection results for Blue Valley Lutheran Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Blue Valley Lutheran Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-07-10 | 2025-08-26 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-10 | 2025-08-26 | 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 | 2025-07-10 | 2025-08-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-07-10 | 2025-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-08 | 2024-10-17 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-27 | 2024-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-27 | 2024-08-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-27 | 2024-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-27 | 2024-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-27 | 2024-07-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-27 | 2024-07-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-30 | N |
| 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 | 2023-05-25 | 2023-06-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-25 | 2023-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-06-30 | 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 | 2023-05-25 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-25 | 2023-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-25 | 2023-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-25 | 2023-06-12 | N |