CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lutheran Home
View the most recent health deficiencies and inspection results for Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-11-24 | 2025-12-08 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-10-12 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-24 | 2023-10-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-24 | 2023-10-12 | 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 | 2023-08-24 | 2023-10-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-08-24 | 2023-10-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-24 | 2023-10-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-24 | 2023-10-12 | 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 | 2023-08-24 | 2023-10-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-24 | 2023-10-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-16 | 2020-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-16 | 2020-02-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-16 | 2020-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-16 | 2020-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2019-01-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-29 | 2019-01-30 | N |
| Respond appropriately to all alleged violations. | Health | 2018-11-29 | 2019-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-29 | 2019-01-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-29 | 2019-01-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-11-29 | 2019-01-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-29 | 2019-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-29 | 2019-01-30 | 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 | 2018-11-29 | 2019-01-30 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2018-11-29 | 2019-01-30 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-11-29 | 2019-01-30 | N |