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Deficiency Records for Good Samaritan Society - Atkinson
A list of the most recent deficiencies for Good Samaritan Society - Atkinson. 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 - Atkinson. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-15 | 2025-02-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-15 | 2025-02-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-15 | 2025-02-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-01-15 | 2025-02-27 | 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 | 2025-01-15 | 2025-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-15 | 2025-02-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-15 | 2025-02-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Develop a communication plan. | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-15 | 2025-02-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-01-13 | 2025-02-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-13 | 2025-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-13 | 2025-02-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-13 | 2025-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-13 | 2025-02-27 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2025-01-13 | 2025-02-27 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2025-01-13 | 2025-02-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-25 | 2024-11-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-25 | 2024-11-08 | 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 | 2024-09-25 | 2024-11-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-25 | 2024-11-08 | Y |
| 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 | 2024-09-25 | 2024-11-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-09-25 | 2024-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-25 | 2024-11-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-10 | 2024-02-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-10 | 2024-02-06 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-01-10 | 2024-02-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-10 | 2024-02-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-10 | 2024-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-02-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-10 | 2024-02-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-01-10 | 2024-02-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-10 | 2024-02-06 | 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 | 2024-01-10 | 2024-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-02-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-10 | 2024-02-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-10 | 2024-02-06 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-04 | 2024-02-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-04 | 2024-02-06 | 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 | 2024-01-04 | 2024-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-04 | 2024-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-04 | 2024-02-06 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-01-04 | 2024-02-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-04 | 2024-02-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-12-08 | 2023-01-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-08 | 2023-01-27 | 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 | 2022-12-08 | 2023-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-08 | 2023-01-27 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-12-08 | 2023-01-27 | 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 | 2022-12-13 | 2023-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-13 | 2023-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-13 | 2023-01-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-13 | 2023-01-20 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-12-13 | 2023-01-20 | 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 | 2022-12-13 | 2023-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2023-01-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-13 | 2023-01-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-13 | 2023-01-20 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-13 | 2023-01-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-13 | 2023-01-20 | N |
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