Deficiency Records for Good Samaritan Society - Liberal

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Updated as of March 01, 2024

A list of the most recent deficiencies for Good Samaritan Society - Liberal. 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?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-12-07 2023-01-24 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-12-07 2023-01-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-07 2023-01-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-12-07 2023-01-24 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2022-10-27 2022-11-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-10-27 2022-11-30 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-10-27 2022-11-30 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-10-27 2022-11-30 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 2022-10-27 2022-11-30 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-27 2022-11-30 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 2022-10-27 2022-11-30 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2022-10-27 2022-11-30 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 2022-10-27 2022-11-30 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-10-27 2022-11-30 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-08-18 2022-09-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-18 2022-09-03 Y
Respond appropriately to all alleged violations. Health 2022-08-18 2022-09-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-18 2022-09-03 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-08-18 2022-09-03 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-08-18 2022-09-03 Y
Provide and implement an infection prevention and control program. Health 2022-08-18 2022-09-03 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-07-28 2022-08-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-28 2022-08-17 Y
Use approved construction type or materials. Fire Safety 2021-07-13 2021-08-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-13 2021-08-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-07-13 2021-08-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-07-13 2021-08-12 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-07-13 2021-08-12 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 2021-05-27 2021-06-18 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-05-27 2021-06-18 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 2021-05-27 2021-06-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-27 2021-06-18 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 2019-08-08 2019-09-13 N
Provide enough food/fluids to maintain a resident's health. Health 2019-08-08 2019-09-13 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-08-08 2019-09-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-08 2019-09-13 N
Provide and implement an infection prevention and control program. Health 2019-08-08 2019-09-13 N
Implement a program that monitors antibiotic use. Health 2019-08-08 2019-09-13 N
Establish an Emergency Preparedness Program (EP). Fire Safety 2019-05-08 2019-06-07 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2019-05-08 2019-06-07 N
Create arrangements with other facilities to receive patients. Fire Safety 2019-05-08 2019-06-07 N
Establish emergency prep training and testing. Fire Safety 2019-05-08 2019-06-07 N
Use approved construction type or materials. Fire Safety 2019-05-08 2019-06-07 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 2019-05-08 2019-06-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-05-08 2019-06-07 N
Provide a written emergency evacuation plan. Fire Safety 2019-05-08 2019-06-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-05-08 2019-06-07 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-05-08 2019-06-07 N
Have restrictions on the use of portable space heaters. Fire Safety 2019-05-08 2019-06-07 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-05-08 2019-06-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-05-08 2019-06-07 N
Have proper medical gas storage and administration areas. Fire Safety 2019-05-08 2019-06-07 N