Lutheran Home at Kane, The

In the surveyor’s words

From the most serious findings on record at Lutheran Home at Kane, The, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF628Nov 19, 2025

  Based on review of facility policy, clinical records, and staff interview it was determined that the facility failed to make certain that the necessary resident information was communicated to the receiving health care provider upon transfer to the hospital for three of 18 residents reviewed (Residents R1, R3, and R77). Findings include: Review of facility policy entitled Transfer or Discharge, Emergency dated 11/3/25, indicated Should it become necessary to make emergency transfer or discharge to a hospital or other related institution, our facility will prepare a transfer packet to send with the resident that includes; face sheet, administration record, order summary, bed hold policy, immunization report, recent weight and vitals, copy of advance directives, and complete e-interact form. […]

• No harm, potential for more than minimal, patternF565Jan 31, 2024

  Based on review of facility policy and Resident Council minutes, and resident and staff interviews, it was determined that the facility failed to ensure that residents were updated in a timely manner regarding Resident Council concerns, and the facility failed to correct Resident Council concerns for a period of three months (November 2023 through January 2024). Findings include: Review of facility policy entitled, Resident Council, dated 1/2/24, revealed Resident Council is a social forum where residents are encouraged to discuss and make decisions about the environment in which they live. Residents are free to make grievances and recommendations to benefit all residents living in the nursing home. […]

• No harm, potential for more than minimal, patternF809Jan 31, 2024

  Based on review of facility policy, resident and staff interviews, it was determined the facility failed to ensure the provision of a substantial evening snack when up to 14 hours and 45 minutes elapsed from the supper meal to breakfast the next day. Findings include: A review of facility's policy entitled Meal times and frequency with a policy review date of 1/2/2024, revealed meals and evening snack will be served at the following times: Breakfast 7:30 a.m., Lunch 11:00 a.m., Dinner 4:45 p.m., Evening snack 7:00 p.m. In nursing facilities, there will be no more than 14 hours between a substantial evening meal (dinner) and breakfast the following day. All residents will be offered a bedtime snack. […]

• No harm, potential for more than minimal, patternF806Apr 30, 2021

  Based on observations, review of the daily menus and facility policy, and interviews with residents and staff, it was determined that the facility failed to offer alternate meals that provide residents with alternate preferences meeting their nutritional requirements for five of 11 residents interviewed (Residents R17, R23, R36, and R47). Findings include: Facility policy titled Meals Available to Residents dated 11/05/2020, stated that dislikes of meal components will be replaced by other food items to round out meal nutrient requirements. Alternate meals of complete nutritional value will be provided upon request. Alternate meal will be posted on menus located throughout the building. During an interview on 4/27/21, at 1:00 p.m. […]

• No harm, potential for more than minimal, isolatedF695Nov 19, 2025

  Based on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to promote cleanliness and help prevent the spread of infection regarding respiratory care equipment for two of four residents reviewed for respiratory care (Residents R4 and R49).Findings include: Review of facility policy entitled Oxygen Administration dated 11/3/25, indicated Concentrator filters cleaned weekly on night shift. Review of resident R4's clinical record revealed an admission date of 8/8/25, with diagnoses that included chronic obstructive pulmonary disease (COPD) (a disease that obstructs air flow from the lungs), heart failure (a condition where the heart cannot supply the body with enough blood), and diabetes (a health condition that is… […]