Deficiency Records for St Lukes Home
Updated as of July 01, 2021
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? |
---|---|---|---|---|
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 |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-27 | 2019-04-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-27 | 2019-04-03 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-04 | 2019-02-08 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-01-04 | 2019-02-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-01-04 | 2019-02-08 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-01-04 | 2019-02-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-04 | 2019-02-08 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-04 | 2019-02-08 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-04 | 2019-02-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-04 | 2019-02-08 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-04 | 2019-02-08 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-04 | 2019-02-08 | N |
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-01-04 | 2019-02-08 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-04 | 2019-02-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-02-08 | 2018-03-15 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-08 | 2018-03-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-08 | 2018-03-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-08 | 2018-03-15 | 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 | 2018-02-08 | 2018-03-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-08 | 2017-11-14 | N |