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Deficiency Records for Lutheran Home
View the most recent health deficiencies and inspection results for Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-06-10 | 2025-07-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-06-10 | 2025-07-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-10 | 2025-07-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-10 | 2025-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-10 | 2025-07-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-06-10 | 2025-07-10 | 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 | 2025-06-10 | 2025-07-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-10 | 2025-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-10 | 2025-07-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-10 | 2025-07-10 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-10 | 2025-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-10 | 2025-07-10 | 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 | 2025-06-10 | 2025-07-10 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2025-06-10 | 2025-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-04 | 2025-03-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-14 | 2024-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-14 | 2024-04-14 | 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 | 2024-03-14 | 2024-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-14 | 2024-04-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-14 | 2024-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-14 | 2024-04-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-14 | 2024-04-14 | 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 | 2024-03-14 | 2024-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-14 | 2024-03-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-14 | 2024-03-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-14 | 2024-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-14 | 2024-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-19 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-17 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-13 | 2023-01-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-12-13 | 2023-01-06 | N |