Deficiency Records for Lutheran Home
Updated as of October 01, 2016
This is not the most recent data for Lutheran Home. For the most recent information, click here.
A list of the most recent deficiencies for Lutheran 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? |
---|---|---|---|---|
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-08-20 | 2015-10-09 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-20 | 2015-10-09 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-20 | 2015-10-09 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-20 | 2015-10-09 | Y |
Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2015-09-24 | 2015-10-09 | Y |
Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-08-20 | 2015-10-09 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-20 | 2015-10-09 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-20 | 2015-10-09 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-08-20 | 2015-10-09 | Y |
Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2015-09-24 | 2015-10-09 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-20 | 2015-08-21 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-08-20 | 2015-08-21 | N |
Try to resolve each resident's complaints quickly. | Health | 2015-04-23 | 2015-05-21 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-04-23 | 2015-05-21 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-04-23 | 2015-05-21 | Y |
Try to resolve each resident's complaints quickly. | Health | 2015-04-23 | 2015-05-21 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-04-23 | 2015-05-21 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-04-23 | 2015-05-21 | Y |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-05-08 | 2014-05-20 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-05-08 | 2014-05-20 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Exits that are accessible at all times. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-02-07 | 2013-03-25 | N |
Post nurse staffing information/data on a daily basis. | Health | 2013-02-07 | 2013-03-25 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-02-07 | 2013-03-25 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-02-07 | 2013-03-25 | N |
Corridor and hallway doors that block smoke. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Exits that are accessible at all times. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Weekly inspections and monthly testing of generators. | Fire Safety | 2013-02-08 | 2013-03-25 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-02-07 | 2013-03-25 | N |
Post nurse staffing information/data on a daily basis. | Health | 2013-02-07 | 2013-03-25 | N |
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-02-07 | 2013-03-25 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-02-07 | 2013-03-25 | N |