Deficiency Records for Good Samaritan Society Northwood Retirement Comm
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society Northwood Retirement Comm. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-12 | 2023-12-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-09 | 2023-04-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-09 | 2023-03-24 | 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 | 2023-02-09 | 2023-03-24 | N |
| Post nurse staffing information every day. | Health | 2023-02-09 | 2023-03-24 | 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 | 2023-02-09 | 2023-03-24 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-02-09 | 2023-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Develop a communication plan. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-20 | 2023-03-08 | 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 | 2023-02-20 | 2023-03-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-20 | 2023-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-31 | 2022-09-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-31 | 2022-09-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-21 | 2022-01-24 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-22 | 2019-08-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-22 | 2019-08-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-22 | 2019-08-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-22 | 2019-08-21 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-07-22 | 2019-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-22 | 2019-08-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-06 | 2019-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-06 | 2019-06-26 | 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 | 2019-06-06 | 2019-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-06 | 2019-06-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-10 | 2018-05-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-04-10 | 2018-05-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-10 | 2018-05-10 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-04-10 | 2018-05-10 | 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 | 2018-04-10 | 2018-05-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-10 | 2018-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-10 | 2018-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-10 | 2018-05-10 | N |
