A list of the most recent deficiencies for Lutheran Center at Poughkeepsie Inc. 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-04-16 | 2021-06-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-16 | 2021-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-16 | 2021-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-16 | 2021-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-16 | 2021-06-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-04-16 | 2021-06-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-16 | 2021-06-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-16 | 2021-06-16 | 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 | 2021-04-16 | 2021-06-16 | 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 | 2021-04-16 | 2021-06-16 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-25 | 2020-04-23 | 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 | 2020-02-25 | 2020-04-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-25 | 2020-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-25 | 2020-04-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-25 | 2020-04-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-07 | 2020-03-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-07 | 2020-03-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-17 | 2018-06-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-17 | 2018-06-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-17 | 2018-06-19 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-04-17 | 2018-06-19 | 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 | 2018-04-17 | 2018-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-17 | 2018-06-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-17 | 2018-06-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-17 | 2018-05-25 | N |
