CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Saint Luke Lutheran Home
View the most recent health deficiencies and inspection results for Saint Luke Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Saint Luke Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-03-10 | 2026-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-10 | 2026-04-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-03-10 | 2026-04-15 | Y |
| Keep all essential equipment working safely. | Health | 2026-03-10 | 2026-04-15 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2026-03-10 | 2026-04-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-03-10 | 2026-04-15 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-03-10 | 2026-04-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-10 | 2026-04-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-10 | 2026-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-10 | 2026-04-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-03-10 | 2026-04-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-10 | 2026-04-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-10 | 2026-04-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2026-03-10 | 2026-04-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-10 | 2026-04-15 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2026-01-30 | 2026-02-13 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-01-30 | 2026-02-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-05 | 2026-01-13 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2026-01-05 | 2026-01-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-01-05 | 2026-01-13 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-11-24 | 2026-01-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-24 | 2026-01-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-11-24 | 2026-01-05 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-10-14 | 2026-01-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-04 | 2025-09-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-04 | 2025-09-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-08-04 | 2025-09-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-04 | 2025-09-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-08-04 | 2025-09-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-04 | 2025-09-25 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-08-04 | 2025-09-25 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-08-04 | 2025-09-25 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-04 | 2025-09-25 | Y |
| Keep all essential equipment working safely. | Health | 2025-09-11 | 2025-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-11 | 2025-09-25 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-09-11 | 2025-09-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-11 | 2025-09-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-09-11 | 2025-09-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-11 | 2025-09-25 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-09-11 | 2025-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-04 | 2025-09-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-12 | 2025-09-25 | Y |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-05-29 | 2025-09-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-19 | 2025-09-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-12 | 2025-09-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-12 | 2025-09-25 | Y |
| Post nurse staffing information every day. | Health | 2025-05-12 | 2025-09-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-12 | 2025-09-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-08-04 | 2025-09-25 | Y |
| 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 | 2025-08-04 | 2025-09-25 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-08-04 | 2025-09-25 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-08-04 | 2025-09-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-08-04 | 2025-09-25 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2025-08-04 | 2025-09-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-08-04 | 2025-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-10 | 2025-04-02 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-01-30 | 2023-03-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-01-30 | 2023-03-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-30 | 2023-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-30 | 2023-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-30 | 2023-03-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-30 | 2023-03-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-30 | 2023-03-07 | 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 | 2023-01-30 | 2023-03-07 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-01-30 | 2023-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-30 | 2023-03-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-30 | 2023-03-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-30 | 2023-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-30 | 2023-03-07 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-06 | 2020-03-09 | 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 | 2020-02-06 | 2020-03-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-06 | 2020-03-09 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-06 | 2020-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-06 | 2020-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-06 | 2020-03-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-02-06 | 2020-03-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-06 | 2020-03-09 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-02-06 | 2020-03-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-06 | 2020-03-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-06 | 2020-03-09 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-02-06 | 2020-03-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-02-06 | 2020-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-06 | 2020-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-06 | 2020-03-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-06 | 2020-03-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-06 | 2020-03-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-16 | 2019-02-19 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-01-16 | 2019-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-16 | 2019-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-16 | 2019-02-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-16 | 2019-02-19 | 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 | 2019-01-16 | 2019-02-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-16 | 2019-02-19 | N |
| Provide or obtain dental services for each resident. | Health | 2019-01-16 | 2019-02-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-16 | 2019-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-16 | 2019-02-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-16 | 2019-02-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-16 | 2019-02-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-16 | 2019-02-19 | N |
| Respond appropriately to all alleged violations. | Health | 2019-01-16 | 2019-02-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-16 | 2019-02-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-01-16 | 2019-02-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-16 | 2019-02-19 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2019-01-16 | 2019-02-19 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-16 | 2019-02-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-16 | 2019-02-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-16 | 2019-02-19 | N |