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Deficiency Records for Good Shepherd Health Care Center of Santa Monica

A list of the most recent deficiencies for Good Shepherd Health Care Center of Santa Monica. 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 Shepherd Health Care Center of Santa Monica. 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-12 2024-01-10 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-12-07 2024-01-09 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-12-07 2024-01-09 N
Assess the resident when there is a significant change in condition Health 2023-12-07 2024-01-09 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-12-07 2024-01-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-12-07 2024-01-09 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 2023-12-07 2024-01-09 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 2023-12-07 2024-01-09 N
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Health 2023-12-07 2024-01-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-07 2024-01-09 N
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Health 2023-12-07 2024-01-09 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-12-07 2024-01-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-05-05 2023-06-05 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-05-05 2023-06-05 Y
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. Health 2023-05-05 2023-06-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-25 2023-05-09 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 2022-05-23 2022-06-01 Y
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-04-07 2021-05-13 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 2021-04-07 2021-05-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-04-07 2021-05-06 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-04-07 2021-05-06 N
Ensure that residents are free from significant medication errors. Health 2021-04-07 2021-05-06 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 2021-04-07 2021-05-06 N
Provide and implement an infection prevention and control program. Health 2021-04-07 2021-05-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-04-06 2021-05-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-06 2021-05-05 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-04-06 2021-05-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-06 2021-05-05 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-04-06 2021-05-05 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-12-19 2020-01-28 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-12-19 2020-01-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-19 2020-01-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-12-19 2020-01-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-19 2020-01-24 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2019-12-19 2020-01-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-12-19 2020-01-24 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 2019-12-19 2020-01-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-19 2020-01-24 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2019-12-19 2020-01-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-12-19 2020-01-24 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2019-12-19 2020-01-24 N
Provide and implement an infection prevention and control program. Health 2019-12-19 2020-01-24 N
Address patient/client population and determine types of services needed. Fire Safety 2019-12-18 2020-01-16 N
Conduct testing and exercise requirements. Fire Safety 2019-12-18 2020-01-16 N
Implement emergency and standby power systems. Fire Safety 2019-12-18 2020-01-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2019-12-18 2020-01-16 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 2019-12-18 2020-01-16 N
Install proper backup exit lighting. Fire Safety 2019-12-18 2020-01-16 N
Provide properly protected cooking facilities. Fire Safety 2019-12-18 2020-01-16 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2019-12-18 2020-01-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-12-18 2020-01-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-18 2020-01-16 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-12-18 2020-01-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-18 2020-01-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-12-18 2020-01-16 N

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