Concordia Lutheran Ministries - Oertel Building

A resident privacy coding document containing multiple residents' names was attached to a previous licensing inspection summary.

The home's training records failed to record the duration of several 2024 trainings, including dementia care and emergency procedures.

The shared powder room in bedroom #207 lacked an operable window and had an inoperable exhaust fan.

The facility's first aid kit was missing required items, specifically scissors and tweezers.

The silver upright freezer in dry storage and the walk-in freezer were both measured at 11 degrees Fahrenheit.

Three boilers had expired certificates of operation as of 8/12/23.

A bedside enabler was not properly secured due to a missing connection pin, posing a fall hazard.

A resident's bedside lamp was inoperable because the wall outlet switch was turned off.

A portable electric space heater was found on a shelf in the laundry room.

An Albuterol inhaler was left unlocked and accessible in an open bedside dresser for a resident assessed for self-administration.

A sheet containing private resident information was left on an unlocked, unattended treatment cart in a hallway.

A container with resident medication was left on an unlocked, unattended treatment cart in a hallway.

Direct care staff persons A and B did not receive required annual training on various topics including medication self-administration and infection control for the 2022 training year.

Staff persons A and B lacked annual training in areas such as fire safety, resident rights, and emergency preparedness; staff person B also lacked falls and accident prevention training.

Sanitary conditions were not maintained as labeled glucometers belonging to different residents were used interchangeably.

Carbon monoxide detector in the boiler room was too close to hot water heaters, and no detector was installed near the activities storage area furnace.

Resident's bedsheet and pillowcase contained visible bloodstains.

Five plastic containers containing dry cereals in the kitchen were found undated.

A resident's medication label for Novolog mix 70-30 contained incorrect administration instructions.

The medication administration record for resident #2 showed inconsistent documentation of insulin units administered.

Notes were posted in a resident's bedroom regarding their privacy and personal care needs.

The private bathroom in a resident's bedroom had multiple brown drip marks and black, brown, and green stains in the tub and surrounding area.

A resident's glucometer was not calibrated to the current date and time.

A resident's initial assessment was not completed within 15 days of admission.