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Deficiency Records for Lutheran Village at Wolfcreek
View the most recent health deficiencies and inspection results for Lutheran Village at Wolfcreek. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Village at Wolfcreek. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-09-08 | 2025-10-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-09-08 | 2025-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-08 | 2025-10-17 | 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 | 2025-09-08 | 2025-10-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-09-08 | 2025-10-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-08 | 2025-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-08 | 2025-10-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-08 | 2025-10-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-08 | 2025-10-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-09-08 | 2025-10-17 | 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 | 2025-09-08 | 2025-10-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-09-08 | 2025-10-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-09-08 | 2025-10-17 | 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 | 2023-04-13 | 2023-05-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-13 | 2023-05-29 | 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 | 2023-04-13 | 2023-05-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-05-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-13 | 2023-05-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-13 | 2023-05-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-13 | 2023-05-29 | 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 | 2023-04-13 | 2023-05-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-05-29 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-13 | 2023-05-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-13 | 2023-05-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-13 | 2023-05-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-13 | 2023-05-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-13 | 2023-05-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-13 | 2023-05-29 | 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 | 2023-04-13 | 2023-05-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-13 | 2023-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2020-03-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-12 | 2020-03-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-12 | 2020-03-04 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-12 | 2020-03-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-12-12 | 2020-03-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-12 | 2020-03-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-03-04 | N |