Deficiency Records for Luther Woods Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Luther Woods Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-18 | 2023-06-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-18 | 2023-06-01 | N |
| 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 | 2023-05-18 | 2023-06-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-18 | 2023-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-18 | 2023-06-01 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-05-18 | 2023-06-01 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-18 | 2023-06-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-02 | 2023-03-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-25 | 2022-10-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-25 | 2022-10-14 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-07-25 | 2022-10-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-25 | 2022-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-25 | 2022-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-25 | 2022-09-23 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-08-25 | 2022-08-26 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-25 | 2022-08-12 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-25 | 2022-08-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-07-25 | 2022-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-08-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-07-28 | 2021-07-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-07-28 | 2021-07-30 | N |
