Deficiency Records for Good Samaritan Society-Prescott Valley
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society-Prescott Valley. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-09 | 2022-11-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-09 | 2022-11-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-09 | 2022-11-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-09 | 2022-10-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-09-09 | 2022-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-09 | 2022-10-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-09-09 | 2022-10-31 | 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 | 2022-09-09 | 2022-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-10-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-09 | 2022-10-31 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-09 | 2022-10-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-09 | 2022-10-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-09 | 2022-10-31 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-09-09 | 2022-09-09 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-04-02 | 2021-05-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-02 | 2021-05-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-02 | 2021-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-02 | 2021-05-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-04-02 | 2021-05-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-02 | 2021-04-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-04-02 | 2021-04-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-04-02 | 2021-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-02 | 2021-04-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-02 | 2021-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-02 | 2021-04-26 | N |
| Post nurse staffing information every day. | Health | 2021-04-02 | 2021-04-26 | 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 | 2021-04-02 | 2021-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-02 | 2021-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-02 | 2021-04-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-21 | 2019-04-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-21 | 2019-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-21 | 2019-04-07 | N |
| Respond appropriately to all alleged violations. | Health | 2019-02-21 | 2019-04-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-21 | 2019-04-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-21 | 2019-04-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-02-22 | 2019-04-05 | 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 | 2019-02-22 | 2019-04-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-22 | 2019-04-05 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-02-22 | 2019-04-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-02-22 | 2019-04-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-22 | 2019-04-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-22 | 2019-04-05 | N |
