A list of the most recent deficiencies for Luther Crest Nursing Facility. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-06-29 | 2023-07-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-29 | 2023-07-30 | 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 | 2023-06-29 | 2023-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-29 | 2023-07-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-29 | 2023-07-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-29 | 2023-07-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-22 | 2023-07-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-03 | 2022-07-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-03 | 2022-07-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-03 | 2022-07-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-03 | 2022-07-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-06-03 | 2022-07-15 | 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 | 2022-06-03 | 2022-07-15 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-06-03 | 2022-07-15 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-06-14 | 2022-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-14 | 2022-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-03 | 2022-03-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-03 | 2022-03-15 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-31 | 2021-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-31 | 2021-09-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-08-31 | 2021-09-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-26 | 2021-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-26 | 2021-09-06 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-04-02 | 2021-04-13 | Y |
