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Deficiency Records for Manor at St Luke Village,the

View the most recent health deficiencies and inspection results for Manor at St Luke Village,the. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Manor at St Luke Village,the. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2026-01-08 2026-03-04 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-01-08 2026-03-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2026-01-08 2026-03-04 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2026-01-08 2026-03-04 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-01-08 2026-03-04 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2026-01-08 2026-03-04 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2026-01-08 2026-02-16 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2026-01-08 2026-02-16 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-01-08 2026-02-16 N
Provide enough food/fluids to maintain a resident's health. Health 2026-01-08 2026-02-16 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2026-01-08 2026-02-16 N
Assist a resident in gaining access to vision and hearing services. Health 2026-01-08 2026-02-16 N
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Health 2026-01-08 2026-02-16 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 2026-01-08 2026-02-16 N
Honor the resident's right to manage his or her financial affairs. Health 2026-01-08 2026-02-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-01-08 2025-08-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-06-26 2025-07-15 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-03-28 2025-04-22 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 2025-03-28 2025-04-22 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2025-03-28 2025-04-22 N
Respond appropriately to all alleged violations. Health 2025-03-28 2025-04-22 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2025-03-28 2025-04-22 N
Meet requirements for the use of electrical equipment. Fire Safety 2025-03-28 2025-04-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-03-28 2025-04-11 N
Provide and implement an infection prevention and control program. Health 2025-01-28 2025-02-26 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-05-31 2024-09-23 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-31 2024-09-23 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-05-31 2024-09-23 N
Ensure each resident receives an accurate assessment. Health 2024-05-31 2024-08-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-05-31 2024-08-08 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-05-31 2024-08-08 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2024-05-31 2024-08-08 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-05-31 2024-08-08 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 2024-05-31 2024-08-08 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 2024-05-31 2024-08-08 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-05-31 2024-08-08 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-05-31 2024-08-08 N
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Health 2024-05-31 2024-08-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-05-31 2024-05-21 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-05-31 2024-05-21 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 2024-05-31 2024-05-21 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-11-16 2023-12-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-16 2023-12-15 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-11-16 2023-12-15 Y

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