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Deficiency Records for Good Samaritan Society - Socorro
A list of the most recent deficiencies for Good Samaritan Society - Socorro. 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 - Socorro. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-05 | 2024-01-05 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-11 | 2023-09-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-11 | 2023-09-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-11 | 2023-09-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-11 | 2023-09-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-11 | 2023-09-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-11 | 2023-09-11 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-07-11 | 2023-09-11 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-07-14 | 2023-08-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-14 | 2023-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-14 | 2023-08-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide activities to meet all resident's needs. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-14 | 2023-08-18 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-07-14 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-18 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-07-14 | 2023-08-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-06 | 2023-04-07 | Y |
| 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 | 2023-03-06 | 2023-04-07 | 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 | 2023-03-06 | 2023-04-07 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-03-06 | 2023-04-07 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-11-28 | 2023-01-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-26 | 2022-06-12 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-04-26 | 2022-06-12 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-04-26 | 2022-06-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-26 | 2022-06-12 | 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 | 2022-04-26 | 2022-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-26 | 2022-06-12 | 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 | 2022-04-26 | 2022-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-26 | 2022-06-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-26 | 2022-06-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-26 | 2022-06-12 | 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 | 2022-04-26 | 2022-06-12 | 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 | 2022-04-26 | 2022-06-12 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-04-26 | 2022-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-26 | 2022-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-26 | 2022-06-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-04-26 | 2022-06-12 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-04-26 | 2022-06-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-04-26 | 2022-06-12 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-26 | 2022-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-19 | 2022-06-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-19 | 2022-06-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-19 | 2022-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-19 | 2022-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-19 | 2022-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-19 | 2022-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-19 | 2022-06-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-19 | 2022-06-12 | 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 | 2021-03-12 | 2021-04-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-12 | 2021-04-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-12 | 2021-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-12 | 2021-04-12 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-03-12 | 2021-04-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-10 | 2021-04-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-10 | 2021-04-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-03-10 | 2021-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-10 | 2021-04-02 | N |
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