Deficiency Records for Manor at St Luke Village,the
Updated as of February 01, 2023
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? |
---|---|---|---|---|
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-20 | 2022-06-16 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-20 | 2022-06-16 | 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 | 2022-05-20 | 2022-06-16 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-05-20 | 2022-06-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-20 | 2022-06-16 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-20 | 2022-06-16 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-05-20 | 2022-06-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-20 | 2022-06-16 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-20 | 2022-06-16 | 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 | 2022-05-31 | 2022-06-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-31 | 2022-06-16 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-31 | 2022-06-16 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-12 | 2022-05-20 | Y |
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 | 2022-04-12 | 2022-05-20 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-12 | 2022-05-20 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-12 | 2022-05-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-12 | 2022-04-12 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-25 | 2022-02-23 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-10-19 | 2021-11-16 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-10-19 | 2021-11-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-26 | 2021-09-06 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-26 | 2021-09-06 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-26 | 2021-09-06 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-20 | 2021-08-24 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-07-20 | 2021-08-24 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-20 | 2021-08-24 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-20 | 2021-08-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-20 | 2021-08-24 | N |
Have policies on smoking. | Health | 2021-07-20 | 2021-08-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-20 | 2021-08-24 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-23 | 2021-04-20 | Y |
Respond appropriately to all alleged violations. | Health | 2021-03-23 | 2021-04-20 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-23 | 2021-04-20 | Y |
Use approved construction type or materials. | Fire Safety | 2020-10-21 | 2020-11-12 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-21 | 2020-11-12 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-21 | 2020-11-12 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-21 | 2020-11-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-10-02 | 2020-10-28 | N |
Provide activities to meet all resident's needs. | Health | 2020-10-02 | 2020-10-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-02 | 2020-10-28 | 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 | 2020-10-02 | 2020-10-28 | N |