Deficiency Records for Good Samaritan Society-Quiburi Mission
Updated as of January 01, 2023
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 | 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 |
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 |
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 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-05 | 2018-04-30 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 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 necessary and PRN use is limited. | 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 |
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 |