LUTHERAN SUNSET HOME
CMS
Actual Harm
Documentation Failure
Infection Control
Nutrition Care
Resident Neglect
Penalty
$11,057
Outcome
LUTHERAN SUNSET HOME in GRAFTON, ND was fined $11,057 by CMS following 17 deficiency citations identified during federal surveys.
Details
LUTHERAN SUNSET HOME (GRAFTON, ND) — $11,057 in CMS Fines
Outcome: LUTHERAN SUNSET HOME in GRAFTON, ND was fined $11,057 by CMS following 17 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Assure the security of all personal funds of residents deposited with the facility.
- Ensure each resident receives an accurate assessment.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Ensure services provided by the nursing facility meet professional standards of quality.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Provide and implement an infection prevention and control program.
- 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.
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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