Deficiency Records for Good Samaritan Society-Quiburi Mission
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society-Quiburi Mission. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-10-27 | 2022-12-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-10-27 | 2022-12-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-10-27 | 2022-12-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-27 | 2022-12-09 | 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 | 2022-10-27 | 2022-12-09 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-10-27 | 2022-12-05 | 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 | 2022-10-27 | 2022-12-05 | 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 | 2022-10-27 | 2022-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-27 | 2022-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-27 | 2022-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-27 | 2022-12-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-24 | 2021-08-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-24 | 2021-08-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-24 | 2021-08-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-06-24 | 2021-08-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-24 | 2021-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-24 | 2021-08-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-24 | 2021-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-24 | 2021-08-12 | 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 | 2021-06-24 | 2021-08-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-06-24 | 2021-08-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-24 | 2021-08-12 | 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 | 2021-06-24 | 2021-08-12 | 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 | 2021-06-24 | 2021-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-23 | 2021-07-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-06-23 | 2021-07-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-23 | 2021-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-23 | 2021-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-23 | 2021-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-23 | 2021-07-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-11 | 2019-06-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-11 | 2019-06-28 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-11 | 2019-06-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-04-11 | 2019-06-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-11 | 2019-06-28 | 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 | 2019-04-11 | 2019-06-28 | N |
| Provide or obtain dental services for each resident. | Health | 2019-04-11 | 2019-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-16 | 2019-06-18 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-04-16 | 2019-06-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-16 | 2019-06-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-04-16 | 2019-06-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-16 | 2019-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-16 | 2019-06-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-16 | 2019-06-18 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-16 | 2019-06-18 | N |
