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Deficiency Records for Pih Health Good Samaritan Hospital D/p Snf
A list of the most recent deficiencies for Pih Health Good Samaritan Hospital D/p Snf. 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 Pih Health Good Samaritan Hospital D/p Snf. 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? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-10-04 | 2024-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-04 | 2024-10-25 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-10-04 | 2024-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-04 | 2024-10-25 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-10-04 | 2024-10-25 | 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 | 2024-10-04 | 2024-10-25 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-10-04 | 2024-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-04 | 2024-10-25 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-10-08 | 2024-10-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-08 | 2024-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-08 | 2024-10-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-08 | 2024-10-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-08 | 2024-10-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-08 | 2024-10-17 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-10-06 | 2023-11-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-06 | 2023-11-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-06 | 2023-10-27 | 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 | 2023-10-06 | 2023-10-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-06 | 2023-10-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-06 | 2023-10-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-06 | 2023-10-27 | N |
| Post nurse staffing information every day. | Health | 2023-10-06 | 2023-10-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-06 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-12 | 2023-10-23 | 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 | 2023-10-12 | 2023-10-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-12 | 2023-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-12 | 2023-10-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-12 | 2023-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-12 | 2023-10-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-06 | 2023-10-06 | 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 | 2023-10-06 | 2023-10-06 | 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 | 2022-11-04 | 2022-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-04 | 2022-12-01 | 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 | 2022-11-04 | 2022-12-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-04 | 2022-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-02 | 2022-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-02 | 2022-11-18 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-11-02 | 2022-11-18 | N |
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