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Deficiency Records for Good Samaritan Society - Pine River

A list of the most recent deficiencies for Good Samaritan Society - Pine River. 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 - Pine River. 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 2024-04-05 2024-05-05 Y
Ensure each resident receives an accurate assessment. Health 2024-01-09 2024-01-29 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-09 2024-01-29 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-01-09 2024-01-29 N
Address subsistence needs for staff and patients. Fire Safety 2024-01-09 2024-01-29 N
Conduct testing and exercise requirements. Fire Safety 2024-01-09 2024-01-29 N
Implement emergency and standby power systems. Fire Safety 2024-01-09 2024-01-29 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-01-08 2024-01-26 N
Provide a written emergency evacuation plan. Fire Safety 2024-01-08 2024-01-26 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-01-08 2024-01-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-08 2024-01-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-19 2023-05-22 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 2023-04-19 2023-05-22 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-04-19 2023-05-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-04-19 2023-05-05 N
Install an approved automatic sprinkler system. Fire Safety 2023-04-19 2023-05-04 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-04-19 2023-05-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-04-21 2022-05-14 Y
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2021-10-14 2021-11-23 N
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 2021-10-14 2021-11-23 N
Respond appropriately to all alleged violations. Health 2021-10-14 2021-11-23 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-10-14 2021-11-23 N
Provide and implement an infection prevention and control program. Health 2021-10-14 2021-11-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-14 2021-11-23 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-10-14 2021-11-18 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-10-14 2021-11-12 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2021-10-14 2021-11-09 N
Install an approved automatic sprinkler system. Fire Safety 2021-10-14 2021-10-27 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-10-14 2021-10-21 N

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