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Deficiency Records for Good Samaritan Society - Millard
A list of the most recent deficiencies for Good Samaritan Society - Millard. 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 - Millard. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-11-21 | 2024-12-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-21 | 2024-12-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-21 | 2024-12-31 | 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 | 2024-11-19 | 2024-12-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-19 | 2024-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-19 | 2024-12-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-26 | 2023-11-03 | Y |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-09-21 | 2023-10-12 | 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 | 2023-09-21 | 2023-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-06 | 2023-07-14 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-06 | 2023-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-06 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-07-14 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-06-06 | 2023-07-14 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-06 | 2023-07-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-12 | 2022-09-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-16 | 2022-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-16 | 2022-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-16 | 2022-08-30 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-12 | 2022-08-16 | 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 | 2022-08-12 | 2022-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
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