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Deficiency Records for Good Samaritan Society - Liberal
A list of the most recent deficiencies for Good Samaritan Society - Liberal. 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 - Liberal. 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Establish methods for sharing information. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Meet other general requirements. | Fire Safety | 2024-08-07 | 2024-08-22 | 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 | 2024-08-07 | 2024-08-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-07 | 2024-08-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-07-24 | 2024-08-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-24 | 2024-08-19 | 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 | 2024-07-24 | 2024-08-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-07-24 | 2024-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-24 | 2024-08-19 | 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 | 2024-07-24 | 2024-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-24 | 2024-08-19 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-24 | 2024-08-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-07-24 | 2024-08-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-24 | 2024-08-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-24 | 2024-08-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-24 | 2024-08-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-07-24 | 2024-08-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-24 | 2024-08-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-24 | 2024-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-28 | 2024-03-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-07 | 2023-01-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-07 | 2023-01-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-07 | 2023-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-07 | 2023-01-24 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-10-27 | 2022-11-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-27 | 2022-11-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-27 | 2022-11-30 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-10-27 | 2022-11-30 | 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 | 2022-10-27 | 2022-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-11-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-10-27 | 2022-11-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-10-27 | 2022-11-30 | 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 | 2022-10-27 | 2022-11-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-27 | 2022-11-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-18 | 2022-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-18 | 2022-09-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-18 | 2022-09-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-03 | Y |
| 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 | 2022-08-18 | 2022-09-03 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-18 | 2022-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-03 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-07-28 | 2022-08-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-28 | 2022-08-17 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-07-13 | 2021-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-13 | 2021-08-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-13 | 2021-08-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-13 | 2021-08-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-07-13 | 2021-08-12 | 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 | 2021-05-27 | 2021-06-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-27 | 2021-06-18 | 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 | 2021-05-27 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-06-18 | N |
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