Deficiency Records for Lutheran Home
Updated as of February 01, 2018
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-08 | 2018-01-19 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2017-12-08 | 2018-01-19 | Y |
| Install proper backup exit lighting. | Fire Safety | 2017-09-28 | 2017-11-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-28 | 2017-11-06 | 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 | 2017-02-28 | 2017-03-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-25 | 2017-02-08 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2016-11-17 | 2016-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-17 | 2016-12-09 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-11-19 | 2016-12-09 | 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 | 2016-11-19 | 2016-12-09 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-11-19 | 2016-12-09 | N |
| 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 |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2015-09-24 | 2015-10-09 | Y |
| 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 |
| 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 |
