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Deficiency Records for Medicalodges Goddard

A list of the most recent deficiencies for Medicalodges Goddard. 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 Medicalodges Goddard. 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?
Establish policies and procedures including evacuation. Fire Safety 2024-03-05 2024-04-16 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 2024-03-05 2024-04-16 N
Provide properly protected cooking facilities. Fire Safety 2024-03-05 2024-04-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-05 2024-04-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-03-05 2024-04-12 N
Have properly sized and located compartments to protect residents from smoke. Fire Safety 2024-03-05 2024-04-12 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-03-05 2024-04-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-03-05 2024-04-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-03-05 2024-04-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-26 2024-04-03 Y
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 2024-02-26 2024-04-03 Y
Ensure each resident receives an accurate assessment. Health 2024-02-26 2024-04-03 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-26 2024-04-03 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 2024-02-26 2024-04-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-26 2024-04-03 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 2024-02-26 2024-04-03 Y
Observe each nurse aide's job performance and give regular training. Health 2024-02-26 2024-04-03 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 2024-02-26 2024-04-03 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-26 2024-04-03 Y
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2024-02-26 2024-04-03 Y
Provide and implement an infection prevention and control program. Health 2024-02-26 2024-04-03 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-02-26 2024-04-03 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 2024-02-26 2024-04-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-25 2023-06-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-11-30 2023-01-07 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-11-30 2023-01-07 Y
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 2022-06-14 2022-06-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-14 2022-06-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-06-14 2022-06-29 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-05-26 2022-06-23 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 2022-05-26 2022-06-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-26 2022-06-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-05-26 2022-06-23 N
Provide and implement an infection prevention and control program. Health 2022-05-26 2022-06-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-26 2022-06-23 Y
Establish roles under a Waiver declared by secretary. Fire Safety 2020-12-17 2021-01-17 N
Conduct testing and exercise requirements. Fire Safety 2020-12-17 2021-01-17 N
Have properly located and lighted "Exit" signs. Fire Safety 2020-12-17 2021-01-17 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 2020-12-17 2021-01-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-12-17 2021-01-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-12-17 2021-01-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-12-17 2021-01-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-12-17 2021-01-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-12-17 2021-01-17 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2020-12-17 2021-01-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-12-17 2021-01-17 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-12-17 2021-01-17 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2020-12-17 2021-01-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-12-17 2021-01-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-12-17 2021-01-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-10-22 2020-11-13 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-10-22 2020-11-13 N
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 2020-10-22 2020-11-13 N
Ensure staff are vaccinated for COVID-19 Health 2022-06-23 Not Fixed N

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