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Deficiency Records for Samaritan Care Center and Villa
A list of the most recent deficiencies for Samaritan Care Center and Villa. 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 Samaritan Care Center and Villa. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-31 | 2022-12-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-31 | 2022-12-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-10-31 | 2022-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-31 | 2022-12-15 | 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 | 2022-10-31 | 2022-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-31 | 2022-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-31 | 2022-12-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-31 | 2022-12-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Use approved construction type or materials. | Fire Safety | 2022-10-25 | 2022-12-15 | 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 | 2022-10-25 | 2022-12-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-25 | 2022-12-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-10-31 | 2022-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-18 | 2019-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-18 | 2019-11-08 | 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 | 2019-10-16 | 2019-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-16 | 2019-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-16 | 2019-11-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-09-07 | 2018-10-29 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-09-07 | 2018-10-29 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-09-07 | 2018-10-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-09-07 | 2018-10-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-09-07 | 2018-10-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-07 | 2018-10-29 | 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 | 2018-09-07 | 2018-10-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-07 | 2018-10-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-07 | 2018-10-29 | N |
| Respond appropriately to all alleged violations. | Health | 2018-09-07 | 2018-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-07 | 2018-10-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-07 | 2018-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-07 | 2018-10-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-07 | 2018-10-29 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-09-07 | 2018-10-29 | 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 | 2018-09-07 | 2018-10-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-09-07 | 2018-10-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-09-07 | 2018-10-29 | N |
| Post nurse staffing information every day. | Health | 2018-09-07 | 2018-10-29 | 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 | 2018-09-07 | 2018-10-29 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-09-07 | 2018-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-07 | 2018-10-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-07 | 2018-10-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Establish methods for sharing information. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-04 | 2018-10-29 | 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 | 2018-09-04 | 2018-10-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-04 | 2018-10-29 | N |
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