Deficiency Records for Katherine Luther Residential Hlth Care and Rehab

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Updated as of March 01, 2024

A list of the most recent deficiencies for Katherine Luther Residential Hlth Care and Rehab. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-23 2022-08-12 Y
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2022-04-19 2022-06-17 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-04-19 2022-06-01 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 2022-04-19 2022-06-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-04-19 2022-06-01 N
Provide enough food/fluids to maintain a resident's health. Health 2022-04-19 2022-06-01 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 2022-04-19 2022-06-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-04-19 2022-06-01 Y
Provide and implement an infection prevention and control program. Health 2022-04-19 2022-06-01 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-04-19 2022-06-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-19 2022-06-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-20 2021-11-15 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-04-23 2021-06-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-10-25 2020-01-20 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 2019-10-25 2020-01-20 N
Provide and implement an infection prevention and control program. Health 2019-10-25 2020-01-20 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-10-25 2019-12-21 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2019-10-25 2019-12-21 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 2019-10-25 2019-12-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-25 2019-12-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-10-25 2019-12-21 N
Provide activities to meet all resident's needs. Health 2019-10-25 2019-12-21 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-10-25 2019-12-21 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2019-10-25 2019-12-21 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 2019-10-25 2019-12-21 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 2019-10-25 2019-12-15 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-10-24 2019-12-15 N
Provide properly protected cooking facilities. Fire Safety 2019-10-24 2019-12-15 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2019-10-24 2019-12-15 N
Have restrictions on the use of portable space heaters. Fire Safety 2019-10-24 2019-12-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-10-24 2019-12-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2018-07-31 2018-09-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-07-31 2018-09-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-07-31 2018-09-10 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 2018-07-31 2018-09-10 N
Provide enough food/fluids to maintain a resident's health. Health 2018-07-31 2018-09-10 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 2018-07-31 2018-09-10 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 2018-07-31 2018-09-10 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-07-31 2018-09-10 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2018-07-31 2018-09-10 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2018-07-31 2018-09-10 N
Provide and implement an infection prevention and control program. Health 2018-07-31 2018-09-10 N
Establish policies and procedures for volunteers. Fire Safety 2018-07-27 2018-09-05 N
Establish roles under a Waiver declared by secretary. Fire Safety 2018-07-27 2018-09-05 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2018-07-27 2018-09-05 N
Establish staff and initial training requirements. Fire Safety 2018-07-27 2018-09-05 N
Have an enclosure around a vertical opening shaft. Fire Safety 2018-07-27 2018-09-05 N
Install an approved automatic sprinkler system. Fire Safety 2018-07-27 2018-09-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-07-27 2018-09-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-07-27 2018-09-05 N