Deficiency Records for St Luke's Rehabilitation and Nursing Center

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Updated as of May 01, 2024

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Deficiency Records for St Luke's Rehabilitation and Nursing Center

A list of the most recent deficiencies for St Luke's Rehabilitation and Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for St Luke's Rehabilitation and Nursing Center. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-01 2024-01-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-01 2024-01-23 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2023-12-01 2024-01-23 N
Provide enough food/fluids to maintain a resident's health. Health 2023-12-01 2024-01-23 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-12-01 2024-01-23 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-12-01 2024-01-23 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-12-01 2024-01-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-12-12 2024-01-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-12 2024-01-16 N
Ensure each resident receives an accurate assessment. Health 2023-01-12 2023-03-13 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-12 2023-03-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-01-12 2023-03-13 N
Ensure that residents are free from significant medication errors. Health 2023-01-12 2023-03-13 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 2023-01-12 2023-03-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-01-18 2023-01-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-24 2022-04-15 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 2022-02-24 2022-04-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-02-24 2022-04-15 N
Ensure staff are vaccinated for COVID-19 Health 2022-02-24 2022-04-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-02-16 2022-04-05 N
Ensure gas and vacuum piping is labeled. Fire Safety 2022-02-16 2022-04-05 N

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