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Deficiency Records for Samaritan Nursing and Rehab
A list of the most recent deficiencies for Samaritan Nursing and Rehab. 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 Nursing and Rehab. 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-05 | 2024-12-20 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-12-05 | 2024-12-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-16 | 2024-10-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2024-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2024-02-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2024-01-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-02 | 2024-01-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-02 | 2024-01-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-02 | 2024-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-02 | 2023-12-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-02 | 2023-12-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-02 | 2023-12-01 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-02 | 2023-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-02 | 2023-11-30 | 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 | 2023-11-02 | 2023-11-29 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-11-02 | 2023-11-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-02 | 2023-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-15 | 2023-01-06 | 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 | 2022-07-28 | 2022-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-28 | 2022-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-28 | 2022-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-28 | 2022-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-28 | 2022-10-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-07-28 | 2022-10-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-07-28 | 2022-09-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-09-10 | 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 | 2022-07-28 | 2022-09-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-28 | 2022-09-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-09-10 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2022-07-28 | 2022-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-28 | 2022-08-31 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-07-28 | 2022-08-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-28 | 2022-08-24 | 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 | 2022-07-28 | 2022-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-28 | 2022-08-22 | Y |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-07-28 | 2022-08-12 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-01-29 | Not Fixed | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-01-29 | Not Fixed | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-29 | Not Fixed | 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 | 2025-01-29 | Not Fixed | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-01-29 | Not Fixed | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-29 | Not Fixed | N |
| 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 | 2025-01-29 | Not Fixed | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-29 | Not Fixed | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-01-29 | Not Fixed | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-01-29 | Not Fixed | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-29 | Not Fixed | 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 | 2025-01-29 | Not Fixed | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-29 | Not Fixed | 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 | 2025-01-29 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-29 | Not Fixed | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-01-29 | Not Fixed | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-01-29 | Not Fixed | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-29 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-29 | Not Fixed | N |
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