Deficiency Records for Good Samaritan Society - Lemars

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Updated as of January 01, 2023

A list of the most recent deficiencies for Good Samaritan Society - Lemars. 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?
Conduct testing and exercise requirements. Fire Safety 2021-09-22 2021-10-08 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2021-09-22 2021-10-08 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-09-22 2021-10-08 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-09-20 2021-10-06 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-09-20 2021-10-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-20 2021-10-06 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-09-20 2021-10-06 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 2021-09-20 2021-10-06 N
Post nurse staffing information every day. Health 2021-09-20 2021-10-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-03-03 2020-03-03 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-09-05 2019-09-26 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 2019-09-05 2019-09-26 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-09-05 2019-09-26 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-09-05 2019-09-26 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 2019-09-05 2019-09-26 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-09-05 2019-09-26 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 2019-09-05 2019-09-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-09-05 2019-09-26 N
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2019-09-05 2019-09-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-05 2019-09-26 N
Provide or get specialized rehabilitative services as required for a resident. Health 2019-09-05 2019-09-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-09-05 2019-09-26 N
Provide and implement an infection prevention and control program. Health 2019-09-05 2019-09-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-09-09 2019-09-13 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-09-09 2019-09-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-09 2019-09-09 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2019-09-09 2019-09-09 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2019-09-09 2019-09-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-09-09 2019-09-09 N
Install corridor and hallway doors that block smoke. Fire Safety 2018-06-18 2018-07-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-06-18 2018-07-02 N
Develop a communication plan. Fire Safety 2018-06-18 2018-06-30 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2018-06-18 2018-06-30 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2018-06-18 2018-06-30 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-06-14 2018-06-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-06-14 2018-06-29 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 2018-06-14 2018-06-29 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2018-06-14 2018-06-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-06-14 2018-06-29 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 2018-06-14 2018-06-29 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-06-14 2018-06-29 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 2018-06-14 2018-06-29 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2018-06-14 2018-06-29 N
Use approved construction type or materials. Fire Safety 2018-06-18 2018-06-26 N
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2018-06-18 2018-06-20 N
Have exits that are accessible at all times. Fire Safety 2018-06-18 2018-06-18 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-06-18 2018-06-18 N