A list of the most recent deficiencies for Good Samaritan Society - Algona. 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 receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-07 | 2024-01-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-12-07 | 2023-12-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-04 | 2023-12-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-04 | 2023-12-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-12-04 | 2023-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-04 | 2023-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-04 | 2023-12-20 | 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 | 2023-12-04 | 2023-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-04 | 2023-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2023-12-20 | 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 | 2023-12-04 | 2023-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-04 | 2023-12-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-04 | 2023-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-04 | 2023-12-20 | 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 | 2023-12-04 | 2023-12-20 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2023-12-04 | 2023-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-04 | 2023-12-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-04 | 2023-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-04 | 2023-12-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-04 | 2023-12-20 | 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 | 2023-12-04 | 2023-12-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-07 | 2023-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-07 | 2023-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2023-12-15 | 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 | 2023-12-07 | 2023-12-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-07 | 2023-12-08 | 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 | 2023-12-07 | 2023-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-07 | 2023-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-07 | 2023-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-07 | 2023-12-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-04 | 2023-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-30 | 2023-04-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-03-30 | 2023-04-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-30 | 2023-04-13 | Y |
| 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 | 2022-10-13 | 2022-10-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-13 | 2022-10-17 | 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 | 2022-10-13 | 2022-10-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-13 | 2022-10-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-10-13 | 2022-10-14 | 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 | 2021-03-22 | 2021-04-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-22 | 2021-04-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-18 | 2021-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-18 | 2021-04-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-03-18 | 2021-04-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-18 | 2021-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-18 | 2021-04-15 | 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 | 2021-03-18 | 2021-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-18 | 2021-04-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-03-18 | 2021-04-15 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2021-03-18 | 2021-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-18 | 2021-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-18 | 2021-04-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-03-22 | 2021-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-22 | 2021-03-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-03-22 | 2021-03-22 | N |
