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Deficiency Records for Good Samaritan Society - Saint Ansgar
A list of the most recent deficiencies for Good Samaritan Society - Saint Ansgar. 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 Society - Saint Ansgar. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-30 | 2024-08-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-07-30 | 2024-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-30 | 2024-07-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-01-10 | 2024-02-08 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-10 | 2024-02-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-02-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-10 | 2024-02-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Develop a communication plan. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-17 | 2024-01-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-09 | 2022-10-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-09 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-10-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-15 | 2022-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-15 | 2022-09-15 | N |
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