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Deficiency Records for Good Samaritan Society - Westbrook
A list of the most recent deficiencies for Good Samaritan Society - Westbrook. 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 - Westbrook. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-09 | 2025-02-14 | 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 | 2025-01-09 | 2025-02-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-01-09 | 2025-02-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-01-09 | 2025-02-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-07 | 2025-02-10 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-01-07 | 2025-02-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-07 | 2025-02-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-09 | 2025-02-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-01-09 | 2025-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-07 | 2025-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-09 | 2025-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-07 | 2025-01-10 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-06 | 2024-01-19 | 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 | 2023-12-06 | 2024-01-17 | 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 | 2023-12-06 | 2024-01-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-06 | 2024-01-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-06 | 2024-01-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-06 | 2024-01-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-06 | 2024-01-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-03-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-16 | 2023-03-29 | 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 | 2023-02-16 | 2023-03-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-16 | 2023-03-29 | 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 | 2023-02-16 | 2023-03-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-16 | 2023-03-29 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-02-16 | 2023-03-29 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-14 | 2023-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-14 | 2023-02-22 | N |
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