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Inspection visit

Inspection

Strawberry Point Lutheran HomeCMS #16513511 citations on this visit
11 citations recorded

Citations

11 citations recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0578GeneralS&S Dpotential for harm

    F578 - The right to request, refuse, and/or discontinue treatment, to participate in or

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • 0732GeneralS&S Bno actual harm

    F732 - Nurse Staffing Information

    Post nurse staffing information every day.

  • 0006GeneralS&S Fpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0009GeneralS&S Fpotential for harm

    Include a process for Emergency Preparedness collaboration.

  • 0018GeneralS&S Fpotential for harm

    Establish procedures for tracking staff and patients during an emergency.

  • 0024GeneralS&S Fpotential for harm

    Establish policies and procedures for volunteers.

  • 0026GeneralS&S Fpotential for harm

    Establish roles under a Waiver declared by secretary.

  • 0029GeneralS&S Fpotential for harm

    Develop a communication plan.

  • 0039GeneralS&S Fpotential for harm

    Conduct testing and exercise requirements.

  • 0223GeneralS&S Fpotential for harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

  • 0341GeneralS&S Fpotential for harm

    Install a fire alarm system that can be heard throughout the facility.

FAQ · About this visit

Common questions about this visit

What happened during the March 22, 2023 survey of Strawberry Point Lutheran Home?

This was a inspection survey of Strawberry Point Lutheran Home on March 22, 2023. The surveyor cited 11 deficiencies, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Strawberry Point Lutheran Home on March 22, 2023?

Yes, 11 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate ..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.