A list of the most recent deficiencies for Goldwater Care Gibson City. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-07 | 2024-03-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-02-07 | 2024-03-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-07 | 2024-03-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-02-07 | 2024-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-07 | 2024-03-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-06 | 2024-02-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-06 | 2024-02-20 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-06 | 2024-02-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-06 | 2024-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-06 | 2024-02-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-06 | 2024-02-20 | 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 | 2024-02-06 | 2024-02-20 | 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 | 2024-02-06 | 2024-02-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-06 | 2024-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-06 | 2024-02-20 | 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 | 2024-02-06 | 2024-02-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-06 | 2024-02-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-18 | 2023-11-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-18 | 2023-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-18 | 2023-10-25 | Y |
| 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 | 2023-09-01 | 2023-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-24 | 2023-08-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-13 | 2023-06-28 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-02 | 2023-03-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-02 | 2023-03-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-02 | 2023-03-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-03-02 | 2023-03-24 | N |
| Develop a communication plan. | Fire Safety | 2023-03-02 | 2023-03-24 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-03-02 | 2023-03-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-02 | 2023-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-02 | 2023-03-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-16 | 2023-03-15 | 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 | 2023-02-16 | 2023-03-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-16 | 2023-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-03-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-16 | 2023-03-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-16 | 2023-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-03-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-16 | 2023-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-16 | 2023-03-15 | 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 | 2023-02-16 | 2023-03-15 | 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 | 2023-02-16 | 2023-03-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-16 | 2023-03-15 | 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 | 2023-02-16 | 2023-03-15 | 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 | 2023-02-16 | 2023-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-16 | 2023-03-15 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-02-16 | 2023-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-03-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-16 | 2023-03-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-16 | 2023-03-15 | N |
| Report COVID19 data to residents and families. | Health | 2023-02-16 | 2023-03-15 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-16 | 2023-03-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-02-16 | 2023-03-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-16 | 2023-03-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-02-16 | 2023-03-15 | 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 | 2023-03-02 | 2023-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-02 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-02 | 2023-03-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-02 | 2023-03-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-01 | 2023-02-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-06-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-24 | 2022-06-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-24 | 2022-06-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-09 | 2022-02-28 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-02-09 | 2022-02-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-09 | 2022-02-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-09 | 2022-02-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-07 | 2022-01-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-12-16 | 2021-12-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-16 | 2021-12-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-16 | 2021-12-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-16 | 2021-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2021-12-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-16 | 2021-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-07 | 2021-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-07 | 2021-12-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-12-07 | 2021-12-14 | N |
| Develop a communication plan. | Fire Safety | 2021-12-07 | 2021-12-14 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-07 | 2021-12-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-07 | 2021-12-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-07 | 2021-12-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-07 | 2021-12-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-06 | 2021-09-03 | Y |
