Deficiency Records for Good Samaritan Society - Forest City
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society - Forest City. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-11-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-24 | 2023-11-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-24 | 2023-11-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-24 | 2023-11-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-24 | 2023-11-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-24 | 2023-11-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-19 | 2023-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-19 | 2023-11-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-19 | 2023-11-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-25 | 2023-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-25 | 2023-05-09 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-16 | 2022-03-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-02-16 | 2022-03-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-16 | 2022-03-16 | 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 | 2022-02-16 | 2022-03-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-16 | 2022-03-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-02-16 | 2022-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-16 | 2022-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-16 | 2022-03-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-16 | 2022-03-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-16 | 2022-03-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-10 | 2022-03-09 | 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 | 2022-02-10 | 2022-03-09 | 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 | 2022-02-10 | 2022-03-09 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-02-16 | 2022-03-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-16 | 2022-03-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-16 | 2022-03-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-02-16 | 2022-02-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-16 | 2022-02-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-16 | 2022-02-25 | 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 | 2022-02-16 | 2022-02-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-16 | 2022-02-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-14 | 2019-11-13 | N |
| 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 | 2019-10-10 | 2019-11-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-10 | 2019-11-06 | 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 | 2019-10-10 | 2019-11-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-10 | 2019-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-10 | 2019-11-06 | 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 | 2019-10-10 | 2019-11-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-10 | 2019-11-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-10 | 2019-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-10 | 2019-11-06 | 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 | 2019-10-10 | 2019-11-06 | 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 | 2019-10-10 | 2019-11-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-10-10 | 2019-11-06 | N |
| Post nurse staffing information every day. | Health | 2019-10-10 | 2019-11-06 | 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 | 2019-10-10 | 2019-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-06 | N |
