Tacoma Lutheran Home

1301 N Highlands Parkway
Tacoma, WA 98406
Pierce County
Phone: 253-752-7112
Provider Number: 505435
Last Inspection: 06/25/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
189
Number of Residents
Number of
Residents
152
Number of Beds Available
Beds Available
37
Percent Occupancy
Percent Occupancy
80%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Church related
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • WA
  • USA
  • 40
  • 20
  • 23
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 40
  • 16
  • 10
Lower Numbers are Better

Details by Inspection Date

 

6/25/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are fully informed and understand their health status, care and treatments. Isolated : Minimal 3 8/8/2014
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern : Potential 3 8/8/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/8/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/8/2014
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 8/8/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/8/2014
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 8/8/2014
Failed To: 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 : Minimal 3 8/8/2014
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 8/8/2014
Failed To: 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. Isolated : Minimal 3 8/8/2014
Failed To: Develop policies and procedures for influenza and pneumococcal immunizations. Pattern : Potential 3 8/8/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 8/8/2014
Failed To: Make sure that a working call system is available in each resident's room or bathroom and bathing area. Isolated : Minimal 3 8/8/2014
 

5/3/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Send unopened mail from residents and promptly deliver unopened mail to residents. Widespread : Potential 4 6/21/2013
Failed To: Give notice to the resident before a room or roommate change. Isolated : Minimal 3 6/21/2013
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 6/21/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 6/21/2013
 

4/4/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 5/19/2012
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 5/19/2012
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 5/19/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

8/22/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 10/6/2014
 

4/16/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 5/31/2014
 

12/23/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Actual 4 2/6/2014
Failed To: 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 : Minimal 3 2/6/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 2/6/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 2/6/2014
 

9/12/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 10/27/2013
 

11/26/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 1/10/2013
 

8/8/2012 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 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 : Minimal 3 9/22/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 9/22/2012

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WA State Avg
Number of Residents 152 97.00 77.56
Registered Nurses 0.75 0.90 1.19
Licensed Practical / Vocational Nurses 1.28 0.83 0.60
Certified Nursing Assistants 3.09 2.37 2.59
Total Staff Hours 5.12 4.10 4.37

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 4 4 5
Long Stay Residents Experiencing One or More Falls with Major Injury 2 2 2
Long Stay Residents Who Have Depressive Symptoms 31 6 10
Long Stay Residents Who Lose Too Much Weight 11 5 6
Long Stay Residents Who Received an Antipsychotic Medication 21 17 17
Long Stay Residents Who Self Report Moderate to Severe Pain 9 10 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 4 6 4
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 13 8 8
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 10 14 13
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 0 3 3
Long Stay Residents With a Urinary Tract Infection 6 5 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 65 51 51
Short Stay Residents Who Newly Received an Antipsychotic Medication 1 1 1
Short Stay Residents Who Self Report Moderate to Severe Pain 21 26 20
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 18 12 13
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 28 13 14
Short Stay Residents With Pressure Ulcers That Are New or Worsened 1 0 0