Deficiency Records for Good Samaritan Society - Hutchinson Village
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society - Hutchinson 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-20 | 2024-01-23 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-12-20 | 2024-01-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-12-20 | 2024-01-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-20 | 2024-01-23 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-12-20 | 2024-01-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-20 | 2023-12-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-11-20 | 2023-12-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-20 | 2023-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2023-12-22 | 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 | 2023-11-20 | 2023-12-22 | 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 | 2023-11-20 | 2023-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-20 | 2023-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-20 | 2023-12-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-15 | 2023-09-04 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Establish methods for sharing information. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Meet other general requirements. | Fire Safety | 2022-02-16 | 2022-03-17 | 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 | 2022-03-17 | 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 | 2022-03-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-16 | 2022-03-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-01-13 | 2022-02-15 | 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 | 2022-01-13 | 2022-02-15 | 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 | 2022-01-13 | 2022-02-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-02 | 2021-11-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-02 | 2021-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-02 | 2021-11-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-01-30 | 2020-04-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-30 | 2020-04-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-04-27 | 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 | 2020-01-30 | 2020-04-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-30 | 2020-04-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-30 | 2020-04-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-30 | 2020-04-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-30 | 2020-04-27 | 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 | 2020-01-30 | 2020-04-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-30 | 2020-04-27 | 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 | 2020-01-30 | 2020-04-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-04-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-04-27 | 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 | 2019-12-12 | 2020-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-12 | 2020-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-12 | 2020-01-09 | N |
