Deficiency Records for Good Shepherd Health Center
Updated as of April 01, 2021
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-03 | 2021-02-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-19 | 2020-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-19 | 2020-01-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-24 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-20 | 2020-01-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-20 | 2020-01-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-20 | 2020-01-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-20 | 2020-01-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-20 | 2019-12-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-12-20 | 2019-12-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-12-20 | 2019-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-20 | 2019-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-20 | 2019-12-20 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2018-11-07 | 2018-12-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| 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 |
