Deficiency Records for Good Samaritan Society - Hutchinson Village
Updated as of January 01, 2022
This is not the most recent data for Good Samaritan Society - Hutchinson Village. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-18 | 2020-08-18 | 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 |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-01-30 | 2019-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-30 | 2019-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-01-30 | 2019-02-28 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-20 | 2018-09-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-08-20 | 2018-09-13 | N |
| Develop a communication plan. | Fire Safety | 2018-08-20 | 2018-09-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-08-20 | 2018-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-20 | 2018-09-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-20 | 2018-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-20 | 2018-09-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-08-20 | 2018-09-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-18 | 2017-08-09 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-07-18 | 2017-08-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-18 | 2017-08-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-18 | 2017-08-09 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-07-18 | 2017-08-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-18 | 2017-08-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-18 | 2017-08-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-18 | 2017-08-09 | N |
| Use approved construction type or materials. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-12-15 | 2017-01-13 | 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 | 2016-12-15 | 2017-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-12-15 | 2017-01-13 | N |
