Deficiency Records for Good Samaritan Society - Ellsworth Village
Updated as of October 01, 2019
This is not the most recent data for Good Samaritan Society - Ellsworth Village. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Ellsworth Village. 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? |
|---|---|---|---|---|
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-01-09 | 2019-01-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-09 | 2019-01-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-01-09 | 2019-01-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-01-09 | 2019-01-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-09 | 2019-01-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-09 | 2019-01-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-12-17 | 2019-01-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-17 | 2019-01-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-17 | 2019-01-07 | 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 | 2018-12-17 | 2019-01-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-12-17 | 2019-01-07 | 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 ne | Health | 2018-12-17 | 2019-01-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-17 | 2019-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-08-31 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-10 | 2017-09-09 | Y |
| Provide housekeeping and maintenance services. | Health | 2017-08-10 | 2017-09-09 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-10 | 2017-09-09 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-10 | 2017-09-09 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-08-10 | 2017-09-09 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-10 | 2017-09-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-02-25 | 2016-03-25 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-02-25 | 2016-03-25 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-02-25 | 2016-03-25 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-25 | 2016-03-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-02-25 | 2016-03-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-25 | 2016-03-25 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-02-25 | 2016-03-25 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-02-25 | 2016-03-25 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2016-02-25 | 2016-03-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-02-25 | 2016-03-25 | N |
