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Deficiency Records for Nursing and Rehabilitation Center at Good Shepherd
A list of the most recent deficiencies for Nursing and Rehabilitation Center at Good Shepherd. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Nursing and Rehabilitation Center at Good Shepherd. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-17 | 2023-12-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-17 | 2023-12-17 | N |
| 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. | Health | 2023-11-17 | 2023-12-17 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-11-17 | 2023-12-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-17 | 2023-12-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-17 | 2023-12-17 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-17 | 2023-12-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-17 | 2023-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2023-12-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2023-12-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-17 | 2023-12-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-17 | 2023-12-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-17 | 2023-12-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-17 | 2023-12-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-11-17 | 2023-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2023-12-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-13 | 2023-12-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-11-13 | 2023-12-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-13 | 2023-12-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-13 | 2023-12-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-11-13 | 2023-12-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-01-18 | 2023-02-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-12 | 2023-02-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-12 | 2023-02-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-12 | 2023-02-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-10-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-01 | 2022-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-01 | 2022-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-01 | 2022-09-30 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-09-01 | 2022-09-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-01 | 2022-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-01 | 2022-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-07 | 2022-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-18 | 2021-07-18 | N |
| Provide appropriate foot care. | Health | 2021-06-18 | 2021-07-18 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-06-18 | 2021-07-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-06-18 | 2021-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-18 | 2021-07-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-06-18 | 2021-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-18 | 2021-07-18 | N |
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