CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Luther Manor
View the most recent health deficiencies and inspection results for Luther Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Luther Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-16 | 2026-02-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-14 | 2026-02-16 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-16 | 2026-01-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-12-16 | 2026-01-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-12-16 | 2026-01-17 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-12-16 | 2026-01-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-16 | 2026-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-12-16 | 2026-01-17 | 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 | 2025-12-16 | 2026-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-16 | 2026-01-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-12-16 | 2026-01-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-16 | 2026-01-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-12-16 | 2026-01-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-16 | 2026-01-17 | 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 | 2025-12-16 | 2026-01-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-12-16 | 2026-01-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-29 | 2025-08-21 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-05-13 | 2025-05-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-26 | 2025-04-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-31 | 2024-12-03 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-10-31 | 2024-12-03 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-10-31 | 2024-11-29 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-31 | 2024-11-25 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-31 | 2024-11-25 | 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 | 2024-10-31 | 2024-11-20 | 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 | 2024-09-10 | 2024-11-20 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-31 | 2024-11-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-10 | 2024-11-20 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-31 | 2024-11-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-31 | 2024-11-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-10 | 2024-11-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-10 | 2024-11-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-10 | 2024-11-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-10 | 2024-10-23 | 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 | 2024-09-10 | 2024-10-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-10 | 2024-10-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-10 | 2024-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-10 | 2024-10-08 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-09-10 | 2024-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-10 | 2024-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-10 | 2024-09-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-10 | 2024-09-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-09-10 | 2024-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-10 | 2024-09-20 | 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 | 2024-09-10 | 2024-09-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-10 | 2024-09-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-09-10 | 2024-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-10 | 2024-09-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-10 | 2024-09-15 | 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 | 2024-09-10 | 2024-09-15 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2024-09-10 | 2024-09-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-10 | 2024-09-12 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2024-09-10 | 2024-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-11 | 2024-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-11 | 2024-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-11 | 2024-07-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-11 | 2024-07-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-11 | 2024-07-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-01 | 2024-03-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-01 | 2024-03-04 | Y |
| 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 | 2024-02-01 | 2024-03-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-01 | 2024-03-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-01 | 2024-02-06 | Y |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-07-27 | 2023-12-15 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2023-07-27 | 2023-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-27 | 2023-09-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-27 | 2023-08-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-07-27 | 2023-08-25 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-07-27 | 2023-08-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-27 | 2023-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-27 | 2023-08-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-27 | 2023-08-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-27 | 2023-08-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-27 | 2023-08-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-27 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-27 | 2023-08-25 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-27 | 2023-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-27 | 2023-08-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-27 | 2023-08-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-07-27 | 2023-08-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-27 | 2023-08-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-16 | Not Fixed | N |