Wittenberg Lutheran Village

Crown Point, Indiana

Certified Number of Beds: 155
Total Number of Residents: 150
Provider Type: Medicare and Medicaid
Ownership Type: Non profit - Corporation
Located Within a Hospital? No
Date First Approved to Provide Medicare/Medicaid Servcies: January 1, 1997
Wittenberg Lutheran Village
1200 E Luther Dr
Crown Point, Indiana 46307

Ownership Information:
Kelly Besaw
Managing Employee

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Nursing Home Ratings
Health Rating
QM Rating
Staffing Rating
RN Staffing Rating
OVERALL RATING
Nursing Home Complaints
Number of Complaints10
Number of Penalties0
Number of Fines0
Fines in Dollars$0.00
Additional Information
Resident Or Family Counseling? Resident
Continuing Care Retirement Community?Yes
Special Focus Facility?No

Nursing Home Deficiencies Reported at Wittenberg Lutheran Village

Survey Date Nursing Home Failed To or Did Not Provide: Scope Severity
January 24, 2013 Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 24, 2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 24, 2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 24, 2013 Exits that are accessible at all times. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 24, 2013 A written emergency evacuation plan. Widespread No actual harm but with potential for more than minimal harm
January 24, 2013 Record of quarterly fire drills for each shift under varying conditions. Widespread No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 24, 2013 Other fire safety features required by fire safety codes. Widespread No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 24, 2013 Weekly inspections and monthly testing of generators. Widespread No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 24, 2013 Properly installed electrical wiring and equipment. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Give residents a notice of rights, rules, services and charges. Widespread No actual harm but with potential for more than minimal harm
January 16, 2013 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Conduct initial and periodic assessments of each resident's functional capacity. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Provide care by qualified persons according to each resident's written plan of care. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident?s clinical condition. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Store, cook, and serve food in a safe and clean way. Widespread No actual harm but with potential for more than minimal harm that is not immediate jeopardy
January 16, 2013 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 16, 2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
November 14, 2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
November 14, 2011 A written emergency evacuation plan. Widespread No actual harm but with potential for more than minimal harm
November 14, 2011 Properly protected cooking facilities. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
November 14, 2011 Weekly inspections and monthly testing of generators. Widespread No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Allow residents the right to participate in the planning or revision of care and treatment. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Provide care by qualified persons according to each resident's written plan of care. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
October 19, 2011 Provide or obtain laboratory services only when ordered by the attending physician. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
July 26, 2011 Provide care by qualified persons according to each resident's written plan of care. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
July 26, 2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
May 12, 2011 Provide care by qualified persons according to each resident's written plan of care. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
May 12, 2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
March 25, 2011 Provide care by qualified persons according to each resident's written plan of care. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
March 25, 2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
March 25, 2011 Ensure that residents are safe from serious medication errors. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
August 11, 2010 Weekly inspections and monthly testing of generators. Widespread No actual harm but with potential for more than minimal harm
August 3, 2010 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
August 3, 2010 Conduct initial and periodic assessments of each resident's functional capacity. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
August 3, 2010 Provide care by qualified persons according to each resident's written plan of care. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
August 3, 2010 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
August 3, 2010 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
August 3, 2010 Provide or obtain laboratory services only when ordered by the attending physician. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
August 3, 2010 Keep complete, dated laboratory records in the resident's file. Isolated No actual harm but with potential for more than minimal harm that is not immediate jeopardy
August 3, 2010 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern No actual harm but with potential for more than minimal harm that is not immediate jeopardy
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