Deficiency Records for St Luke's Hospital Sacred Heart Campus Tcf
Updated as of October 01, 2016
This is not the most recent data for St Luke's Hospital Sacred Heart Campus Tcf. For the most recent information, click here.
A list of the most recent deficiencies for St Luke's Hospital Sacred Heart Campus Tcf. 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? |
|---|---|---|---|---|
| A two-hour-resistant firewall separation. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Approved construction type or materials. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Approved construction type or materials. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Protected exits that allow the resident to escape the building. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2015-09-09 | 2015-11-08 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-09-03 | 2015-10-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-09-03 | 2015-10-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-09-03 | 2015-10-02 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-03 | 2015-10-02 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-09-03 | 2015-10-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-09-03 | 2015-10-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-09-03 | 2015-10-02 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-09-03 | 2015-10-02 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Properly maintained smoke detectors. | Fire Safety | 2014-10-30 | 2014-12-29 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-10-16 | 2014-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-16 | 2014-11-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-10-16 | 2014-11-10 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-10-16 | 2014-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-16 | 2014-11-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-10-16 | 2014-11-10 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-09-24 | 2013-10-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-09-05 | 2013-10-18 | 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 | 2013-09-05 | 2013-10-18 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2013-09-05 | 2013-10-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-09-05 | 2013-10-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2013-09-05 | 2013-10-18 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-09-24 | 2013-10-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-09-05 | 2013-10-18 | 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 | 2013-09-05 | 2013-10-18 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2013-09-05 | 2013-10-18 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-09-05 | 2013-10-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2013-09-05 | 2013-10-18 | N |
