Deficiency Records for Good Samaritan Society - Lemars
Updated as of August 01, 2022
This is not the most recent data for Good Samaritan Society - Lemars. For the most recent information, click here.
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 |