Deficiency Records for Good Samaritan Society - Bonell Community
Updated as of May 01, 2022
This is not the most recent data for Good Samaritan Society - Bonell Community. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Bonell Community. 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? |
|---|---|---|---|---|
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-01-06 | 2022-01-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-06 | 2022-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-06 | 2022-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-06 | 2022-01-25 | 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 | 2022-01-06 | 2022-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-06 | 2022-01-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-06 | 2022-01-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-13 | 2022-01-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-13 | 2022-01-12 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-13 | 2022-01-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-13 | 2022-01-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-13 | 2022-01-12 | 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 | 2021-12-13 | 2022-01-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-12-13 | 2022-01-12 | 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 | 2021-12-13 | 2022-01-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-13 | 2022-01-12 | 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 | 2021-12-13 | 2022-01-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-13 | 2022-01-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-13 | 2022-01-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-02-24 | 2021-03-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-24 | 2021-03-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-24 | 2021-03-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-02-24 | 2021-03-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-24 | 2021-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-29 | 2020-07-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-30 | 2019-12-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-30 | 2019-12-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-30 | 2019-12-10 | Y |
| 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 | 2019-10-30 | 2019-12-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-10-30 | 2019-12-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-30 | 2019-12-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-15 | 2019-10-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-11 | 2019-10-21 | 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 | 2019-08-15 | 2019-10-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-11 | 2019-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-11 | 2019-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-11 | 2019-09-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-08-15 | 2019-09-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-15 | 2019-09-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-15 | 2019-09-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-15 | 2019-09-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-15 | 2019-09-18 | 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 | 2019-08-15 | 2019-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-15 | 2019-09-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-09-11 | 2019-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-11 | 2019-09-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-27 | 2018-10-05 | N |
| Provide or obtain dental services for each resident. | Health | 2018-07-27 | 2018-10-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-27 | 2018-09-14 | 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 | 2018-07-27 | 2018-09-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-07-27 | 2018-09-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-27 | 2018-09-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-27 | 2018-08-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-27 | 2018-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-27 | 2018-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-27 | 2018-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-27 | 2018-08-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-07-27 | 2018-08-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-07-27 | 2018-08-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-27 | 2018-08-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-16 | 2018-08-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-16 | 2018-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-16 | 2018-08-23 | N |
