A list of the most recent deficiencies for Luther Acres Manor. 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? |
---|---|---|---|---|
Meet other general requirements. | Fire Safety | 2023-12-19 | 2024-02-17 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-12-19 | 2024-02-17 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-19 | 2024-02-17 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-12-19 | 2024-02-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-19 | 2024-02-17 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-19 | 2024-02-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-19 | 2024-02-17 | 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 | 2023-12-14 | 2024-01-30 | N |
Respond appropriately to all alleged violations. | Health | 2023-12-14 | 2024-01-30 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-14 | 2024-01-30 | N |
Respond appropriately to all alleged violations. | Health | 2023-02-24 | 2023-04-11 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-09 | 2023-03-09 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-22 | 2022-04-05 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-22 | 2022-04-05 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Install proper backup exit lighting. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-01 | 2022-03-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-01 | 2022-03-31 | N |