Good Shepherd Lutheran Home
CMS
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Wound Care
Penalty
$10,000
Outcome
Good Shepherd Lutheran Home in SAUK RAPIDS, MN was fined $10,000 by CMS following 20 deficiency citations identified during federal surveys.
Details
Good Shepherd Lutheran Home (SAUK RAPIDS, MN) — $10,000 in CMS Fines
Outcome: Good Shepherd Lutheran Home in SAUK RAPIDS, MN was fined $10,000 by CMS following 20 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Allow residents to self-administer drugs if determined clinically appropriate.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Post nurse staffing information every day.
- 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.
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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