LUTHER MANOR
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$170,666
Outcome
LUTHER MANOR in MILWAUKEE, WI was fined $170,666 by CMS across 6 separate penalties following 48 deficiency citations identified during federal surveys.
Details
LUTHER MANOR (MILWAUKEE, WI) — $170,666 in CMS Fines
Outcome: LUTHER MANOR in MILWAUKEE, WI was fined $170,666 by CMS across 6 separate penalties following 48 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 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.
- Ensure that residents are free from significant medication errors.
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Ensure each resident receives an accurate assessment.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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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