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Deficiency Records for Good Samaritan Society - Blackduck
A list of the most recent deficiencies for Good Samaritan Society - Blackduck. 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 - Blackduck. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-13 | 2024-07-22 | 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 | 2024-06-13 | 2024-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-22 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-06-13 | 2024-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-22 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-13 | 2024-07-22 | 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 | 2024-06-12 | 2024-07-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-07 | 2024-03-13 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-10 | 2023-09-20 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-10 | 2023-09-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-10 | 2023-09-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-10 | 2023-09-20 | 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 | 2023-08-10 | 2023-09-20 | 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 | 2023-08-10 | 2023-09-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-10 | 2023-09-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-10 | 2023-09-20 | 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 | 2023-08-10 | 2023-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-10 | 2023-09-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-09-08 | 2022-10-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-08 | 2022-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-08 | 2022-10-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-07 | 2022-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-07 | 2022-10-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-07 | 2022-10-14 | N |
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