A list of the most recent deficiencies for Good Samaritan Society - Red Oak. 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-25 | 2023-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-25 | 2023-06-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-25 | 2023-06-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-30 | 2023-06-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-30 | 2023-06-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-30 | 2023-05-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-30 | 2023-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-04 | 2022-05-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-04 | 2022-05-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-05-04 | 2022-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-04 | 2022-05-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-04 | 2022-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-04 | 2022-05-31 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-05-04 | 2022-05-31 | 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 | 2022-05-04 | 2022-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-04 | 2022-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-05-31 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-22 | 2022-05-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-22 | 2022-05-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-22 | 2022-04-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-04-22 | 2022-04-27 | N |
| Have an externally vented heating system. | Fire Safety | 2022-04-22 | 2022-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-22 | 2022-04-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-26 | 2021-11-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-26 | 2021-11-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-26 | 2021-11-15 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-10-26 | 2021-11-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-27 | 2020-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-03-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-27 | 2020-03-27 | 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 | 2020-02-27 | 2020-03-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-27 | 2020-03-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-27 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-03-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-02-27 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-03-27 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2020-03-03 | 2020-03-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-03-03 | 2020-03-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-03-03 | 2020-03-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-03-03 | 2020-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-03 | 2020-03-10 | 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 | 2020-03-03 | 2020-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-03 | 2020-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-03 | 2020-03-05 | N |
