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Deficiency Records for Good Samaritan Society - Olathe
A list of the most recent deficiencies for Good Samaritan Society - Olathe. 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 - Olathe. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-01-09 | 2024-01-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-12 | 2023-12-30 | 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 | 2023-12-12 | 2023-12-30 | 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 | 2023-12-12 | 2023-12-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-12 | 2023-12-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-12 | 2023-12-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-12 | 2023-12-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-12-12 | 2023-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-12 | 2023-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2023-12-30 | Y |
| 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 | 2023-12-12 | 2023-12-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-12 | 2023-12-30 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-12-12 | 2023-12-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-12 | 2023-12-30 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-12-12 | 2023-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2023-12-30 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-12-12 | 2023-12-30 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-12-12 | 2023-12-30 | Y |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-20 | 2023-10-31 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-09 | 2022-03-29 | 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 | 2022-03-09 | 2022-03-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-09 | 2022-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-10 | 2022-03-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-10 | 2022-03-25 | Y |
| 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 | 2022-02-10 | 2022-03-25 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-10 | 2022-03-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-10 | 2022-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-30 | 2022-01-23 | Y |
| 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 | 2020-03-05 | 2020-04-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-05 | 2020-04-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-05 | 2020-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-04-16 | 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 | 2020-03-05 | 2020-04-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-05 | 2020-04-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-05 | 2020-04-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-04-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-11 | 2020-03-10 | 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 | 2020-02-11 | 2020-03-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-11 | 2020-03-10 | N |
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