A list of the most recent deficiencies for Good Samaritan Society - Villisca. 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 safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-14 | 2023-10-12 | Y |
| 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 | 2023-09-14 | 2023-10-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-10-12 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-14 | 2023-10-12 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-18 | 2023-10-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-18 | 2023-10-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-18 | 2023-10-03 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-09-18 | 2023-10-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-09-18 | 2023-09-28 | 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 | 2022-06-09 | 2022-07-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-09 | 2022-07-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-06-09 | 2022-07-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-09 | 2022-07-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-09 | 2022-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-09 | 2022-06-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-09 | 2022-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-09 | 2022-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-09 | 2022-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-22 | 2021-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-22 | 2021-08-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-22 | 2021-08-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-02 | 2021-04-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-11 | 2020-04-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-11 | 2020-04-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-11 | 2020-04-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-11 | 2020-04-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-03-05 | 2020-03-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-05 | 2020-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-05 | 2020-03-25 | 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 | 2020-03-05 | 2020-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-03-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-03-11 | 2020-03-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-03-11 | 2020-03-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-18 | Not Fixed | N |
