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Deficiency Records for Good Samaritan Health Care Ctr
A list of the most recent deficiencies for Good Samaritan Health Care Ctr. 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 Health Care Ctr. 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? |
|---|---|---|---|---|
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-08-29 | 2024-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-01 | 2024-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-04 | 2024-06-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-04 | 2024-06-27 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-08-15 | 2023-09-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-15 | 2023-09-20 | 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 | 2023-08-15 | 2023-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-15 | 2023-09-20 | N |
| Respond appropriately to all alleged violations. | Health | 2023-08-15 | 2023-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-15 | 2023-09-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-15 | 2023-09-20 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-15 | 2023-09-20 | 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 | 2023-08-15 | 2023-09-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-15 | 2023-09-20 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-08-15 | 2023-09-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-09-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-15 | 2023-09-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-15 | 2023-09-20 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Meet other general requirements. | Fire Safety | 2023-08-07 | 2023-09-08 | 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 | 2023-08-07 | 2023-09-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-07 | 2023-09-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-07 | 2023-09-08 | 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 | 2022-05-26 | 2022-06-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-06-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-26 | 2022-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-05-25 | 2022-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-25 | 2022-06-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-25 | 2022-06-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-25 | 2022-06-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-25 | 2022-06-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-25 | 2022-06-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-04 | 2019-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-04 | 2019-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-04 | 2019-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-04 | 2019-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-13 | 2019-07-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-06-13 | 2019-07-30 | 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 | 2019-06-13 | 2019-07-30 | 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 | 2019-06-13 | 2019-07-30 | 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 | 2019-06-13 | 2019-07-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-13 | 2019-07-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-13 | 2019-07-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-13 | 2019-07-30 | 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 | 2019-06-13 | 2019-07-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-13 | 2019-07-30 | N |
| Post nurse staffing information every day. | Health | 2019-06-13 | 2019-07-30 | 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 | 2019-06-13 | 2019-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-13 | 2019-07-30 | N |
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