Deficiency Records for Spiritrust Lutheran The Village at Utz Terrace
Updated as of April 01, 2020
This is not the most recent data for Spiritrust Lutheran The Village at Utz Terrace. For the most recent information, click here.
A list of the most recent deficiencies for Spiritrust Lutheran The Village at Utz Terrace. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-19 | 2020-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-01-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-22 | 2019-11-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-17 | 2019-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-17 | 2019-02-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-17 | 2019-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-17 | 2019-02-20 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-01-17 | 2019-02-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-01-17 | 2019-02-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-17 | 2019-02-20 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-01-17 | 2019-02-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-01-17 | 2019-02-20 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-02-27 | 2018-04-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-27 | 2018-04-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-27 | 2018-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-02-27 | 2018-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-22 | 2018-04-09 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-02-22 | 2018-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-22 | 2018-04-09 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2017-04-03 | 2017-05-01 | Y |
