Deficiency Records for Good Shepherd Health Center
Updated as of February 01, 2019
This is not the most recent data for Good Shepherd Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Good Shepherd Health 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? |
|---|---|---|---|---|
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-11-07 | 2018-12-04 | N |
| Be properly staffed | Fire Safety | 2018-11-07 | 2018-12-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-01 | 2018-12-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-01 | 2018-12-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-11-01 | 2018-12-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-01 | 2018-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-01 | 2018-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-01 | 2018-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-01 | 2018-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-07 | 2018-11-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-11-07 | 2018-11-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-11-07 | 2018-11-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-16 | 2018-03-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-16 | 2018-03-06 | Y |
| 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 | 2018-02-16 | 2018-03-06 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-08-17 | 2017-09-17 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-08-17 | 2017-09-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-17 | 2017-09-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-17 | 2017-08-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-08-17 | 2017-08-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-08-17 | 2017-08-31 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-08-17 | 2017-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-17 | 2017-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-17 | 2017-08-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-17 | 2017-08-17 | 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 | 2017-08-17 | 2017-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-17 | 2017-08-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-17 | 2017-08-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-17 | 2017-08-17 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-06-20 | 2017-07-07 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-20 | 2017-07-07 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-01 | 2017-05-20 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-05-01 | 2017-05-20 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-04 | 2016-10-21 | Y |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | Health | 2016-07-21 | 2016-08-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-21 | 2016-08-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-07-21 | 2016-08-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-07-21 | 2016-08-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-21 | 2016-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-21 | 2016-08-19 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-07-21 | 2016-08-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-07-21 | 2016-08-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-21 | 2016-08-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-07-21 | 2016-08-19 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-07-22 | 2016-08-05 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-07-22 | 2016-08-05 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-07-22 | 2016-08-05 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-07-22 | 2016-08-05 | N |
| A written emergency evacuation plan. | Fire Safety | 2016-07-22 | 2016-08-05 | N |
| Portable fire extinguishers. | Fire Safety | 2016-07-22 | 2016-08-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-07-22 | 2016-08-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-05-26 | 2016-06-23 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-05-26 | 2016-06-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-26 | 2016-06-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-26 | 2016-06-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-26 | 2016-06-23 | Y |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-05-26 | 2016-06-23 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-05-26 | 2016-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-26 | 2016-06-23 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-05-26 | 2016-06-23 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-26 | 2016-06-23 | Y |
