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Deficiency Records for Good Samaritan Home

A list of the most recent deficiencies for Good Samaritan Home. 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 Good Samaritan Home. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-15 2024-09-06 N
Respond appropriately to all alleged violations. Health 2024-08-15 2024-09-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-15 2024-09-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-15 2024-09-06 N
Address subsistence needs for staff and patients. Fire Safety 2024-08-15 2024-09-06 N
Provide properly protected cooking facilities. Fire Safety 2024-08-15 2024-09-06 N
Install an approved automatic sprinkler system. Fire Safety 2024-08-15 2024-09-06 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-08-15 2024-09-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-08-15 2024-09-06 N
Ensure operating rooms are properly protected and written records are maintained and available for inspection. Fire Safety 2024-08-15 2024-09-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-08-15 2024-09-06 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-14 2023-11-30 Y
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-08-19 2023-09-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-17 2023-08-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-17 2023-08-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-17 2023-08-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-19 2023-08-20 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-04 2023-04-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-04 2022-10-05 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-09-27 2022-10-03 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-09-08 2022-10-03 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-09-08 2022-10-03 N
Provide and implement an infection prevention and control program. Health 2022-09-08 2022-10-03 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-09-08 2022-10-03 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-09-08 2022-09-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-08 2022-09-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-09-08 2022-09-22 N
Provide emergency officials' contact information. Fire Safety 2022-09-08 2022-09-20 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-09-08 2022-09-20 N
Provide a written emergency evacuation plan. Fire Safety 2022-09-08 2022-09-20 N
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2022-07-22 2022-09-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-07-22 2022-09-04 Y

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