Facility profile · CCN 285148
Good Shepherd Lutheran Home
23 federal citations on record .
Record summary
Federal record · Q1 202623
Total citations
23
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
23 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 1, 2025 | F923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | Complaint |
| May 1, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint |
| May 1, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| May 1, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 1, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| May 1, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| May 1, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 1, 2025 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| May 1, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| May 1, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| May 1, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| Apr 23, 2024 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Apr 23, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 4, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| May 3, 2023 | F908 | Keep all essential equipment working safely. | D | Complaint |
| May 3, 2023 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | Complaint |
| May 3, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 3, 2023 | F758 | 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. | D | Standard |
| May 3, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| May 3, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| May 3, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| May 3, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| May 3, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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