Deficiency Records for Good Samaritan Society-Quiburi Mission
Updated as of January 01, 2020
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? |
|---|---|---|---|---|
| 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 |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-11 | 2019-06-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-04-11 | 2019-06-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-04-11 | 2019-06-28 | Y |
| 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 |
| Be properly staffed | 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 |
| 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 |
