Deficiency Records for Good Samaritan Rehab and Care Center
Updated as of August 01, 2024
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Deficiency Records for Good Samaritan Rehab and Care Center
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.
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? |
|---|---|---|---|---|
| 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 | 2024-03-07 | 2024-04-17 | 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 | 2024-03-07 | 2024-04-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-07 | 2024-04-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-07 | 2024-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-04-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-07 | 2024-04-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-07 | 2024-04-17 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-03-07 | 2024-04-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-07 | 2024-04-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-07 | 2024-04-17 | 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 | 2024-03-07 | 2024-04-17 | 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 | 2024-03-07 | 2024-04-17 | 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 | 2024-03-07 | 2024-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-04-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-07 | 2024-04-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-13 | 2024-04-17 | N |
| 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 |
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