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Deficiency Records for Spiritrust Lutheran The Village at Luther Ridge

View the most recent health deficiencies and inspection results for Spiritrust Lutheran The Village at Luther Ridge. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Spiritrust Lutheran The Village at Luther Ridge. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-05-29 2025-07-17 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2025-05-29 2025-07-17 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 2025-05-29 2025-07-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-06-11 2025-07-17 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2025-05-29 2025-07-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-05-29 2025-07-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-05-29 2025-07-17 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 2025-05-29 2025-07-16 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2025-05-29 2025-07-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-05-29 2025-07-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2025-05-29 2025-06-20 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 2024-07-25 2024-09-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-25 2024-09-09 N
Provide and implement an infection prevention and control program. Health 2024-07-25 2024-09-09 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-25 2024-09-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-25 2024-09-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-07-25 2024-09-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-25 2024-08-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-07-25 2024-08-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-25 2024-08-09 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2023-09-14 2023-11-22 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-09-14 2023-11-07 N
Ensure each resident receives an accurate assessment. Health 2023-09-14 2023-11-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-14 2023-11-07 N
Provide enough food/fluids to maintain a resident's health. Health 2023-09-14 2023-11-07 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 2023-09-14 2023-11-07 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-09-14 2023-11-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-14 2023-11-07 N
Provide and implement an infection prevention and control program. Health 2023-09-14 2023-11-07 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-09-14 2023-11-07 N

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