Deficiency Records for Good Samaritan Society - Lyons
Updated as of October 01, 2022
This is not the most recent data for Good Samaritan Society - Lyons. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Lyons. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-08 | 2021-07-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-15 | 2021-04-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-04-15 | 2021-04-28 | 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 | 2021-04-15 | 2021-04-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-15 | 2021-04-28 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-04-15 | 2021-04-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-15 | 2021-04-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-12-10 | 2020-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-16 | 2020-10-03 | Y |
| 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 | 2020-09-16 | 2020-10-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-09 | 2020-02-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-09 | 2020-02-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-01-09 | 2020-02-04 | Y |
| 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 | 2020-01-09 | 2020-02-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-19 | 2019-10-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-19 | 2019-10-02 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Develop a communication plan. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-05 | 2019-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-03 | 2018-08-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-03 | 2018-08-01 | N |
| Use approved construction type or materials. | Fire Safety | 2017-09-25 | 2017-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-09-25 | 2017-10-25 | 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 | 2017-09-25 | 2017-10-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-09-25 | 2017-10-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-09-25 | 2017-10-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-09-25 | 2017-10-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-09-25 | 2017-10-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-09-25 | 2017-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-25 | 2017-10-25 | N |
