Deficiency Records for The Good Samaritan Society-Kissimmee Village
Updated as of March 01, 2024
A list of the most recent deficiencies for The Good Samaritan Society-Kissimmee Village. 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-30 | 2024-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-30 | 2024-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-01 | 2024-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-01 | 2024-02-23 | 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 | 2024-02-01 | 2024-02-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-01 | 2024-02-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-10 | 2023-12-04 | 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 | 2023-08-10 | 2023-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-10-30 | Y |
| 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 | 2023-08-10 | 2023-10-30 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-10 | 2023-10-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-10 | 2023-09-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-10 | 2023-09-08 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-30 | 2023-06-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-30 | 2023-06-09 | Y |
| 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 | 2023-01-06 | 2023-02-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2022-12-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-17 | 2022-12-19 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-17 | 2022-12-19 | Y |
| 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 | 2022-03-22 | 2022-06-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-24 | 2022-04-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-24 | 2022-04-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-24 | 2022-04-25 | N |
| Post nurse staffing information every day. | Health | 2022-03-24 | 2022-04-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-22 | 2022-04-25 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-03-22 | 2022-04-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-22 | 2022-04-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-06 | 2021-09-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-06 | 2021-09-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-06 | 2021-09-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-09-06 | 2021-09-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-11-19 | 2021-01-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-11-19 | 2021-01-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-11-19 | 2021-01-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-19 | 2021-01-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-11-19 | 2021-01-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-19 | 2021-01-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-19 | 2021-01-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-11-19 | 2021-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-11-19 | 2021-01-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-11-19 | 2021-01-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-11-19 | 2021-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-11-19 | 2021-01-22 | N |
