Deficiency Records for Katherine Luther Residential Hlth Care and Rehab
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 |