Deficiency Records for Nursing and Rehabilitation Center at Good Shepherd

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Updated as of March 01, 2024

A list of the most recent deficiencies for Nursing and Rehabilitation Center at Good Shepherd. 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 be treated with respect and dignity and to retain and use personal possessions. Health 2023-11-17 2023-12-17 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-11-17 2023-12-17 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-11-17 2023-12-17 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-11-17 2023-12-17 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-11-17 2023-12-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-17 2023-12-17 N
Provide activities to meet all resident's needs. Health 2023-11-17 2023-12-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-17 2023-12-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-17 2023-12-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-11-17 2023-12-17 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-11-17 2023-12-17 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-17 2023-12-17 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-11-17 2023-12-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-17 2023-12-17 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-11-17 2023-12-17 N
Provide and implement an infection prevention and control program. Health 2023-11-17 2023-12-17 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-11-13 2023-12-17 N
Provide emergency officials' contact information. Fire Safety 2023-11-13 2023-12-17 N
Conduct testing and exercise requirements. Fire Safety 2023-11-13 2023-12-17 N
Implement emergency and standby power systems. Fire Safety 2023-11-13 2023-12-17 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-11-13 2023-12-17 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-01-18 2023-02-17 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-01-12 2023-02-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-01-12 2023-02-10 Y
Respond appropriately to all alleged violations. Health 2023-01-12 2023-02-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-10-21 2022-10-21 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-09-01 2022-09-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-01 2022-09-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-01 2022-09-30 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-09-01 2022-09-30 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-09-01 2022-09-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-01 2022-09-30 N
Provide and implement an infection prevention and control program. Health 2022-06-07 2022-07-01 Y
Reasonably accommodate the needs and preferences of each resident. Health 2021-07-12 2021-08-11 Y
Ensure each resident receives an accurate assessment. Health 2021-07-12 2021-08-11 Y
Provide and implement an infection prevention and control program. Health 2021-07-12 2021-08-11 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-18 2021-07-18 N
Provide appropriate foot care. Health 2021-06-18 2021-07-18 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-06-18 2021-07-18 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-06-18 2021-07-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-06-18 2021-07-18 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2021-06-18 2021-07-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-18 2021-07-18 N