Deficiency Records for Good Samaritan Society - Liberal
Updated as of September 01, 2021
This is not the most recent data for Good Samaritan Society - Liberal. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-08 | 2019-09-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-08 | 2019-09-13 | Y |
| 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 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-13 | Y |
| Implement a program that monitors antibiotic use. | Health | 2019-08-08 | 2019-09-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-09 | 2019-06-08 | Y |
| 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 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-02-20 | 2019-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-20 | 2019-03-22 | Y |
| 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 | 2019-02-20 | 2019-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-02-20 | 2019-03-22 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-12-19 | 2019-01-18 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-12-19 | 2019-01-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-19 | 2019-01-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-12-19 | 2019-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-10 | 2018-11-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-10-10 | 2018-11-22 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-10 | 2018-11-22 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-23 | 2017-06-27 | 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 | 2017-05-23 | 2017-06-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-05-23 | 2017-06-27 | N |
