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Deficiency Records for Spiritrust Lutheran The Village at Sprenkle Drive
View the most recent health deficiencies and inspection results for Spiritrust Lutheran The Village at Sprenkle Drive. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Spiritrust Lutheran The Village at Sprenkle Drive. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-18 | 2025-12-12 | 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 | 2024-11-06 | 2025-01-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-06 | 2025-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-06 | 2025-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-06 | 2024-12-28 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-11-06 | 2024-12-28 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-11-06 | 2024-12-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-06 | 2024-12-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-11-06 | 2024-12-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-06 | 2024-12-28 | 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 | 2024-11-06 | 2024-12-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-06 | 2024-12-28 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-11-06 | 2024-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-06 | 2024-12-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-11-06 | 2024-12-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-06 | 2024-12-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-23 | 2024-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-23 | 2024-11-30 | Y |
| Meet other general requirements. | Fire Safety | 2024-01-04 | 2024-03-13 | N |
| Use approved construction type or materials. | Fire Safety | 2024-01-04 | 2024-03-13 | 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 | 2024-01-04 | 2024-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-04 | 2024-03-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-04 | 2024-03-13 | N |
| Provide or obtain dental services for each resident. | Health | 2024-01-04 | 2024-03-01 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-04 | 2024-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-04 | 2024-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-04 | 2024-03-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-19 | 2023-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-19 | 2023-03-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-19 | 2023-03-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-19 | 2023-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-19 | 2023-03-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-19 | 2023-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-19 | 2023-03-25 | N |