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Deficiency Records for Good Shepherd Community Care and Rehabilitation
A list of the most recent deficiencies for Good Shepherd Community Care and Rehabilitation. 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 Shepherd Community Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-01 | 2024-05-03 | 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 | 2024-04-01 | 2024-04-22 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-04-01 | 2024-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-01 | 2024-04-22 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2024-04-01 | 2024-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-01 | 2024-04-22 | 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 | 2024-04-01 | 2024-04-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-01 | 2024-04-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-01 | 2024-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-01 | 2024-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-01 | 2024-04-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-01 | 2024-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-01 | 2024-04-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-01 | 2024-04-02 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-04-01 | 2024-04-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-01 | 2024-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-22 | 2022-07-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-04-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-25 | 2022-04-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-25 | 2022-03-27 | 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 | 2022-03-25 | 2022-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-25 | 2022-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-31 | 2019-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-31 | 2019-08-16 | 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 | 2019-07-31 | 2019-08-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-07-31 | 2019-08-02 | N |
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