Deficiency Records for Good Samaritan Rehab and Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Rehab and Care Center. 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? |
|---|---|---|---|---|
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-09-22 | 2022-10-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-20 | 2022-08-05 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Establish methods for sharing information. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-02 | 2019-05-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-08 | 2019-04-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-08 | 2019-04-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-08 | 2019-04-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-08 | 2019-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-08 | 2019-04-08 | 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 | 2019-03-08 | 2019-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-08 | 2019-04-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-03-08 | 2019-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-08 | 2019-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-08 | 2019-04-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-08 | 2019-04-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-04 | 2018-06-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-05-04 | 2018-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-04 | 2018-06-01 | 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 | 2018-05-04 | 2018-06-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-04 | 2018-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-04 | 2018-06-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-05-04 | 2018-06-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Develop a communication plan. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Use approved construction type or materials. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-07 | 2018-05-17 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2017-05-05 | 2017-06-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-05 | 2017-06-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-05-05 | 2017-06-09 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-05-05 | 2017-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-05 | 2017-06-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-05 | 2017-06-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-05 | 2017-06-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-05 | 2017-06-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-05-05 | 2017-06-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-05-05 | 2017-06-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-05 | 2017-06-09 | N |
| Keep clinical record information safe. | Health | 2017-05-05 | 2017-06-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-05-10 | 2017-06-07 | N |
