Deficiency Records for Fond Du Lac Lutheran Home

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Updated as of March 01, 2024

A list of the most recent deficiencies for Fond Du Lac 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?
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 2023-11-27 2023-12-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-27 2023-12-27 Y
Provide and implement an infection prevention and control program. Health 2023-11-27 2023-12-27 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-07-17 2023-09-08 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-07-17 2023-09-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-03 2023-09-01 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-05-24 2023-07-07 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 2023-05-24 2023-07-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-24 2023-07-07 N
Respond appropriately to all alleged violations. Health 2023-05-24 2023-07-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-24 2023-07-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-24 2023-07-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-24 2023-07-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-24 2023-07-07 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-05-24 2023-07-07 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-05-24 2023-07-07 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-23 2023-07-07 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-23 2023-07-07 N
Meet other general requirements that are deficient. Fire Safety 2023-05-23 2023-07-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-23 2023-07-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-23 2023-07-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-23 2023-07-07 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-23 2023-07-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-23 2023-07-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-23 2023-07-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-17 2023-04-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-02 2023-03-02 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-02-02 2023-03-02 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-02 2023-03-02 Y
Respond appropriately to all alleged violations. Health 2023-02-02 2023-03-02 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-14 2022-12-14 Y
Respond appropriately to all alleged violations. Health 2022-11-14 2022-12-14 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-09-07 2022-10-05 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-09-07 2022-10-05 Y
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2022-07-31 2022-08-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-31 2022-08-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-31 2022-08-24 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 2022-07-31 2022-08-24 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-06-01 2022-07-01 Y
Respond appropriately to all alleged violations. Health 2022-06-01 2022-07-01 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-25 2022-06-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-25 2022-06-25 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-05-25 2022-06-25 N
Construct fire resistant interior walls. Fire Safety 2022-05-24 2022-06-25 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2022-05-24 2022-06-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-24 2022-06-25 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-05-24 2022-06-25 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 2022-05-24 2022-06-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-05-24 2022-06-15 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-24 2022-05-26 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2022-05-24 2022-05-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-29 2022-04-22 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 2022-03-29 2022-04-22 Y
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-03-29 2022-04-22 Y
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2022-03-29 2022-04-22 Y
Provide and implement an infection prevention and control program. Health 2022-03-29 2022-04-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-10 2022-03-10 Y
Respond appropriately to all alleged violations. Health 2022-02-10 2022-03-10 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-02-10 2022-03-10 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-05-12 2021-09-01 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-05-12 2021-06-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-12 2021-06-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-12 2021-06-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-12 2021-06-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-12 2021-06-12 N
Provide enough food/fluids to maintain a resident's health. Health 2021-05-12 2021-06-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-12 2021-06-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-05-12 2021-06-12 N
Provide and implement an infection prevention and control program. Health 2021-05-12 2021-06-12 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-05-12 2021-06-12 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-05-12 2021-06-12 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-05-12 2021-06-12 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-05-12 2021-06-12 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-05-12 2021-06-12 Y
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 2021-05-12 2021-06-12 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-05-12 2021-06-12 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 2021-05-12 2021-06-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-05-12 2021-06-12 N
Install an approved automatic sprinkler system. Fire Safety 2021-05-12 2021-06-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-12 2021-06-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-12 2021-06-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-05-12 2021-06-12 N