Deficiency Records for Good Samaritan Society-Quiburi Mission
Updated as of March 01, 2019
This is not the most recent data for Good Samaritan Society-Quiburi Mission. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-05 | 2018-04-30 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-02-05 | 2018-04-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-05 | 2018-04-30 | N |
| Respond appropriately to all alleged violations. | Health | 2018-02-05 | 2018-04-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-02-05 | 2018-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-05 | 2018-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-05 | 2018-04-30 | 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 | 2018-02-05 | 2018-04-30 | N |
| Post nurse staffing information every day. | Health | 2018-02-05 | 2018-04-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-02-05 | 2018-04-30 | 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 ne | Health | 2018-02-05 | 2018-04-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-02-05 | 2018-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-05 | 2018-04-30 | 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 | 2018-02-05 | 2018-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-05 | 2018-04-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-05 | 2018-04-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-05 | 2018-04-30 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-02-02 | 2018-03-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-02-02 | 2018-03-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-02-02 | 2018-03-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-02 | 2018-03-16 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-10-22 | 2016-01-12 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-10-22 | 2016-01-12 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-22 | 2016-01-12 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-10-22 | 2016-01-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-10-22 | 2016-01-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-22 | 2016-01-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-10-22 | 2016-01-12 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-10-20 | 2015-11-25 | N |
