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Deficiency Records for Good Samaritan Society Arlington
A list of the most recent deficiencies for Good Samaritan Society Arlington. 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 Arlington. 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? |
|---|---|---|---|---|
| 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 | 2024-01-24 | 2024-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-24 | 2024-03-25 | 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 | 2024-01-24 | 2024-03-25 | 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 | 2024-01-24 | 2024-03-25 | 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 | 2024-01-24 | 2024-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-24 | 2024-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-24 | 2024-03-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-06 | 2023-07-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-06 | 2023-07-25 | 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 | 2023-03-15 | 2023-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-15 | 2023-05-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-15 | 2023-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | 2023-05-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-15 | 2023-04-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-15 | 2023-04-27 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-15 | 2023-04-27 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-15 | 2023-04-27 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-15 | 2023-04-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-15 | 2023-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-14 | 2023-04-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-14 | 2023-04-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-14 | 2023-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-14 | 2023-04-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-03 | 2022-12-22 | 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 | 2022-11-03 | 2022-12-22 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-07 | 2021-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-07 | 2021-11-12 | 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 | 2021-10-07 | 2021-11-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-07 | 2021-11-12 | 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 | 2021-10-07 | 2021-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-07 | 2021-11-12 | 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 | 2021-10-07 | 2021-11-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-07 | 2021-11-12 | N |
| Post nurse staffing information every day. | Health | 2021-10-07 | 2021-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-07 | 2021-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-07 | 2021-11-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-07 | 2021-11-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-07 | 2021-11-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-10-07 | 2021-11-12 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-10-07 | 2021-11-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-10-07 | 2021-11-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-07 | 2021-11-12 | N |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2021-10-05 | 2021-11-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-10-05 | 2021-11-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-05 | 2021-11-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-05 | 2021-11-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-05 | 2021-11-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-05 | 2021-11-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-05 | 2021-11-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-05 | 2021-11-12 | N |
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