Deficiency Records for Good Shepherd Health Center
Updated as of June 01, 2023
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 | 2023-02-21 | 2023-03-17 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-02 | 2022-07-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-02 | 2022-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-02 | 2022-07-02 | 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 | 2022-06-02 | 2022-07-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-02 | 2022-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-02 | 2022-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-02 | 2022-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-02 | 2022-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-07-02 | 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 | 2022-06-02 | 2022-07-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-08 | 2022-06-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-08 | 2022-06-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-08 | 2022-06-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-08 | 2022-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-14 | 2022-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-14 | 2022-05-14 | Y |
| 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 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-24 | N |
| 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 requirements for the use and maintenance of medical gas equipment. | 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 requirements for the use and maintenance of medical gas equipment. | 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 |
