A list of the most recent deficiencies for Good Samaritan Society - Waukon. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Develop a communication plan. | Fire Safety | 2023-05-16 | 2023-06-16 | 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 | 2023-05-16 | 2023-06-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-05-16 | 2023-06-15 | 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 | 2023-05-11 | 2023-05-26 | N |
| Post nurse staffing information every day. | Health | 2023-05-11 | 2023-05-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-06 | 2022-01-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-06 | 2022-01-25 | 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 | 2022-01-10 | 2022-01-11 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-01-10 | 2022-01-11 | 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 | 2020-01-09 | 2020-01-29 | 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 | 2020-01-09 | 2020-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-01-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-16 | 2020-01-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-16 | 2020-01-21 | 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 | 2020-01-16 | 2020-01-18 | 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 | 2020-01-16 | 2020-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-16 | 2020-01-16 | N |
