Deficiency Records for Good Samaritan Society - Estherville
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society - Estherville. 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-30 | 2023-12-15 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-30 | 2023-12-15 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-30 | 2023-12-15 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-30 | 2023-12-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-30 | 2023-09-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-30 | 2023-09-22 | 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 | 2023-08-30 | 2023-09-22 | N |
| 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 | 2023-08-30 | 2023-09-22 | 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 | 2023-08-30 | 2023-09-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-08-30 | 2023-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-09-22 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-30 | 2023-09-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-30 | 2023-09-22 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-30 | 2023-09-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-30 | 2023-09-22 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-06 | 2023-09-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-06 | 2023-09-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-06 | 2023-09-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-26 | 2022-11-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-01 | 2022-06-24 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-06-01 | 2022-06-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-01 | 2022-06-24 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-01 | 2022-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-01 | 2022-06-24 | 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 | 2022-06-01 | 2022-06-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-01 | 2022-06-24 | N |
| 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 | 2022-06-01 | 2022-06-24 | N |
| Post nurse staffing information every day. | Health | 2022-06-01 | 2022-06-24 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-06-01 | 2022-06-24 | 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 | 2022-06-01 | 2022-06-24 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-06-01 | 2022-06-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-01 | 2022-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-01 | 2022-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-06-24 | 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 | 2022-06-01 | 2022-06-24 | 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 | 2022-06-01 | 2022-06-24 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-24 | 2022-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-01 | 2022-06-17 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-03-18 | 2021-04-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-03-18 | 2021-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-18 | 2021-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-18 | 2021-04-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-03-16 | 2021-04-07 | N |
| 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 | 2021-03-16 | 2021-04-07 | 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 | 2021-03-16 | 2021-04-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-16 | 2021-04-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-16 | 2021-04-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-03-16 | 2021-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-16 | 2021-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-16 | 2021-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-18 | 2021-04-05 | N |
| Use approved construction type or materials. | Fire Safety | 2021-03-18 | 2021-03-31 | 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 | 2021-03-18 | 2021-03-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-03-18 | 2021-03-31 | 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 | 2021-03-18 | 2021-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-18 | 2021-03-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-03-18 | 2021-03-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-18 | 2021-03-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-03-18 | 2021-03-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-18 | 2021-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-18 | 2021-03-31 | N |
