Deficiency Records for Columbia Lutheran Home
Updated as of September 01, 2018
This is not the most recent data for Columbia Lutheran Home. For the most recent information, click here.
A list of the most recent deficiencies for Columbia Lutheran Home. 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 and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2017-12-01 | 2017-12-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-01 | 2017-12-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-01 | 2017-12-22 | Y |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-10 | 2017-05-26 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-10 | 2017-05-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-10 | 2017-05-26 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2017-05-10 | 2017-05-26 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-05-10 | 2017-05-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-10 | 2017-05-26 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-10 | 2017-05-26 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-01 | 2017-05-26 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2017-05-01 | 2017-05-26 | N |
Provide housekeeping and maintenance services. | Health | 2017-05-01 | 2017-05-26 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-01 | 2017-05-26 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-01 | 2017-05-26 | N |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-05-01 | 2017-05-26 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-01 | 2017-05-26 | 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 | 2017-05-01 | 2017-05-26 | N |
Ensure that residents are safe from serious medication errors. | Health | 2017-05-01 | 2017-05-26 | N |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-05-01 | 2017-05-26 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-05-01 | 2017-05-26 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-14 | 2016-10-14 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-02-02 | 2016-03-02 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-02-02 | 2016-03-02 | N |
Exits that are accessible at all times. | Fire Safety | 2016-01-26 | 2016-02-04 | N |
An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-01-26 | 2016-02-04 | N |