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Deficiency Records for Good Samaritan Society - Grants
A list of the most recent deficiencies for Good Samaritan Society - Grants. 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 - Grants. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-16 | 2024-08-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-12 | 2024-08-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-12 | 2024-08-08 | N |
| 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 | 2024-07-12 | 2024-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-08 | N |
| Keep all essential equipment working safely. | Health | 2024-07-12 | 2024-08-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-24 | 2024-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-24 | 2024-02-15 | 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 | 2023-03-20 | 2023-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-20 | 2023-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-20 | 2023-05-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-05-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-20 | 2023-05-04 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-20 | 2023-05-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-20 | 2023-05-04 | 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 | 2023-03-20 | 2023-05-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-20 | 2023-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-20 | 2023-05-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-20 | 2023-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-20 | 2023-05-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-20 | 2023-05-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-20 | 2023-05-04 | 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 | 2023-02-21 | 2023-02-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-21 | 2023-02-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-22 | 2022-03-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-02-22 | 2022-03-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-02-22 | 2022-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-25 | 2022-03-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-15 | 2021-11-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-10-15 | 2021-11-11 | Y |
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