Deficiency Records for Good Samaritan Society - Fontanelle
Updated as of November 01, 2022
This is not the most recent data for Good Samaritan Society - Fontanelle. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Fontanelle. 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? |
|---|---|---|---|---|
| Establish emergency prep training and testing. | Fire Safety | 2021-06-01 | 2021-07-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-06-02 | 2021-06-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-02 | 2021-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-02 | 2021-06-30 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-06-02 | 2021-06-30 | 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 | 2021-06-02 | 2021-06-30 | 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 | 2021-06-02 | 2021-06-30 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-06-02 | 2021-06-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-02 | 2021-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-02 | 2021-06-30 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-06-02 | 2021-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-02 | 2021-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-01 | 2021-06-17 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-01 | 2021-06-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-01 | 2021-06-15 | N |
| Develop a communication plan. | Fire Safety | 2021-06-01 | 2021-06-15 | 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 | 2021-06-01 | 2021-06-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-01 | 2021-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-01 | 2021-06-01 | 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 | 2019-08-15 | 2019-09-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-08-15 | 2019-09-20 | 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 | 2019-08-15 | 2019-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-15 | 2019-09-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-15 | 2019-09-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-15 | 2019-09-20 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-08-15 | 2019-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-19 | 2019-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-19 | 2019-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-19 | 2019-08-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-19 | 2019-08-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-19 | 2019-08-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-19 | 2019-08-21 | 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 | 2019-08-19 | 2019-08-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-19 | 2019-08-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-03 | 2018-05-25 | 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 | 2018-05-03 | 2018-05-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-03 | 2018-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-03 | 2018-05-25 | 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 | 2018-05-03 | 2018-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-03 | 2018-05-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-05-03 | 2018-05-25 | 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 | 2018-05-03 | 2018-05-25 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-05-03 | 2018-05-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-05-08 | 2018-05-22 | 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 | 2018-05-08 | 2018-05-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-08 | 2018-05-22 | N |
