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Deficiency Records for Good Samaritan Society - St James

A list of the most recent deficiencies for Good Samaritan Society - St James. 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 - St James. 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?
Give residents a notice of rights, rules, services and charges. Health 2024-07-25 2024-09-03 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2024-07-25 2024-09-03 N
Provide and implement an infection prevention and control program. Health 2024-07-25 2024-09-03 N
Ensure each resident receives an accurate assessment. Health 2023-08-31 2023-09-29 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-08-31 2023-09-29 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-08-31 2023-09-29 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-08-31 2023-09-29 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 2023-08-31 2023-09-29 N
Provide and implement an infection prevention and control program. Health 2023-08-31 2023-09-29 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-08-31 2023-09-29 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 2023-08-31 2023-09-29 Y
Establish staff and initial training requirements. Fire Safety 2023-08-31 2023-09-29 N
Conduct testing and exercise requirements. Fire Safety 2023-08-31 2023-09-29 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-05-11 2023-05-31 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-11 2023-05-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-27 2023-04-07 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-02-27 2023-04-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-08 2023-04-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-08 2023-04-05 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-11-09 2022-11-18 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-20 2022-11-18 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-20 2022-11-18 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-10-20 2022-11-18 Y
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Health 2022-10-20 2022-11-18 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-03-03 2022-04-02 N
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 2022-03-03 2022-04-02 N
Ensure each resident receives an accurate assessment. Health 2022-03-03 2022-04-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-03 2022-04-02 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 2022-03-03 2022-04-02 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 2022-03-03 2022-04-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-03 2022-04-02 N
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 2022-03-03 2022-04-02 N
Provide and implement an infection prevention and control program. Health 2022-03-03 2022-04-02 N
Have exits that are accessible at all times. Fire Safety 2022-03-01 2022-04-02 N
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. Fire Safety 2022-03-01 2022-04-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-11-23 2021-12-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-15 2021-11-03 Y

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