A list of the most recent deficiencies for St Lukes Home. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-07 | 2023-03-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-09 | 2023-03-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-09 | 2023-03-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-09 | 2023-03-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-09 | 2023-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-07 | 2023-02-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-30 | 2022-05-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-30 | 2022-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-30 | 2022-05-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-30 | 2022-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-05-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-02 | 2021-09-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-02 | 2021-09-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-09-02 | 2021-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-02 | 2021-09-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-02 | 2021-09-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-16 | 2020-02-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-16 | 2020-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-16 | 2020-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-16 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-20 | N |
