Deficiency Records for Manor at St Luke Village,the
Updated as of June 01, 2017
This is not the most recent data for Manor at St Luke Village,the. For the most recent information, click here.
A list of the most recent deficiencies for Manor at St Luke Village,the. 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? |
|---|---|---|---|---|
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-04-21 | 2016-06-16 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-21 | 2016-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-21 | 2016-06-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-21 | 2016-06-16 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-04-21 | 2016-06-16 | N |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2016-04-21 | 2016-06-16 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-21 | 2016-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-21 | 2016-06-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-21 | 2016-06-16 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-04-21 | 2016-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-08 | 2016-01-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-08 | 2016-01-12 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-08 | 2015-07-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-05-08 | 2015-07-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-08 | 2015-07-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-05-08 | 2015-07-15 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-05-08 | 2015-06-29 | N |
| Provide housekeeping and maintenance services. | Health | 2015-05-08 | 2015-06-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-05-08 | 2015-06-29 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-05-08 | 2015-06-29 | N |
| Provide or obtain dental services for each resident. | Health | 2015-05-08 | 2015-06-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-08 | 2015-06-29 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-05-08 | 2015-06-29 | N |
| Provide housekeeping and maintenance services. | Health | 2015-05-08 | 2015-06-29 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-05-08 | 2015-06-29 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-05-08 | 2015-06-29 | N |
| Provide or obtain dental services for each resident. | Health | 2015-05-08 | 2015-06-29 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-08 | 2015-06-29 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-04-10 | 2014-05-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-04-10 | 2014-05-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-04-10 | 2014-05-28 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-04-10 | 2014-05-28 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2014-04-10 | 2014-05-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-04-10 | 2014-05-28 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-04-10 | 2014-05-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-04-10 | 2014-05-28 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2014-04-10 | 2014-05-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-04-10 | 2014-05-28 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2014-04-10 | 2014-05-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-04-10 | 2014-05-28 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-04-10 | 2014-05-28 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2014-04-10 | 2014-05-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-04-10 | 2014-05-28 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-04-10 | 2014-05-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-04-10 | 2014-05-28 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2014-04-10 | 2014-05-28 | N |
