A list of the most recent deficiencies for Medicalodges Goddard. 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 policies and procedures including evacuation. | Fire Safety | 2024-03-05 | 2024-04-04 | 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 | 2024-03-05 | 2024-04-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-05 | 2024-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-06-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-30 | 2023-01-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-30 | 2023-01-07 | Y |
| 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 | 2022-06-14 | 2022-06-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-14 | 2022-06-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-14 | 2022-06-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-26 | 2022-06-23 | 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 | 2022-05-26 | 2022-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-06-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-26 | 2022-06-23 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-12-17 | 2021-01-17 | 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 | 2020-12-17 | 2021-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-12-17 | 2021-01-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-10-22 | 2020-11-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-22 | 2020-11-13 | 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 | 2020-10-22 | 2020-11-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-26 | Not Fixed | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-02-26 | Not Fixed | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-26 | Not Fixed | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-26 | Not Fixed | 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 | 2024-02-26 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-26 | Not Fixed | 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 | 2024-02-26 | Not Fixed | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-02-26 | Not Fixed | 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 | 2024-02-26 | Not Fixed | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-26 | Not Fixed | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-26 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-26 | Not Fixed | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-26 | Not Fixed | 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 | 2024-02-26 | Not Fixed | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-23 | Not Fixed | N |
