Deficiency Records for St Lukes Home
Updated as of March 01, 2018
This is not the most recent data for St Lukes Home. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-01-05 | 2017-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-05 | 2017-02-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-01-05 | 2017-02-06 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-01-25 | 2016-02-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-01-25 | 2016-02-29 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-25 | 2016-02-29 | N |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2016-01-25 | 2016-02-29 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-01-25 | 2016-02-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-01-25 | 2016-02-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-01-25 | 2016-02-29 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-25 | 2016-02-29 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-25 | 2016-02-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2016-01-25 | 2016-02-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-25 | 2016-02-29 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-01-25 | 2016-02-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-01-25 | 2016-02-29 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-01-25 | 2016-02-29 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-01-25 | 2016-02-29 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-25 | 2016-02-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-25 | 2016-02-29 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2016-01-25 | 2016-02-29 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-01-25 | 2016-02-10 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-10-14 | 2015-10-26 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-10-14 | 2015-10-26 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-06-04 | 2015-06-29 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-06-04 | 2015-06-29 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-06-04 | 2015-06-26 | Y |
| Allow residents to self-administer drugs if determined safe. | Health | 2014-12-04 | 2015-01-08 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2014-12-04 | 2015-01-08 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-12-04 | 2015-01-08 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-12-04 | 2015-01-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-12-04 | 2015-01-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-12-04 | 2015-01-08 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2014-12-04 | 2015-01-08 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-12-04 | 2015-01-08 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-12-04 | 2015-01-08 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-12-04 | 2015-01-08 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-12-04 | 2015-01-08 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-12-04 | 2015-01-08 | N |
| Keep all essential equipment working safely. | Health | 2014-12-04 | 2015-01-08 | N |
