Deficiency Records for Good Samaritan Society - Decatur County
Updated as of July 01, 2019
This is not the most recent data for Good Samaritan Society - Decatur County. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Decatur County. 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-07 | 2018-09-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-07 | 2018-09-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-07 | 2018-09-06 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-07 | 2018-09-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-07 | 2018-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-07 | 2018-09-06 | 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 | 2018-08-07 | 2018-09-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-07 | 2018-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-07 | 2018-09-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-07 | 2018-09-06 | 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 | 2018-08-07 | 2018-09-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-08-07 | 2018-09-06 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-08-07 | 2018-09-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-07 | 2018-09-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-08-07 | 2018-09-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-13 | 2017-08-04 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-13 | 2017-08-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-13 | 2017-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-13 | 2017-08-04 | Y |
| Keep all essential equipment working safely. | Health | 2017-07-13 | 2017-08-04 | Y |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-07-13 | 2017-08-04 | Y |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-12-13 | 2017-01-12 | 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 | 2016-12-13 | 2017-01-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-13 | 2017-01-12 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-12-13 | 2017-01-12 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-13 | 2017-01-12 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-05-16 | 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 | 2019-05-16 | Not Fixed | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-16 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-16 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-16 | Not Fixed | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-05-16 | Not Fixed | 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 | 2019-05-16 | Not Fixed | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-16 | Not Fixed | 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 ne | Health | 2019-05-16 | Not Fixed | N |
