Deficiency Records for Good Samaritan Society - Decatur County

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Updated as of March 01, 2021

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?
Provide and implement an infection prevention and control program. Health 2020-11-05 2020-12-17 Y
Ensure that residents are free from significant medication errors. Health 2020-01-16 2020-01-16 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2019-05-16 2019-06-18 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 2019-06-18 N
Provide activities to meet all resident's needs. Health 2019-05-16 2019-06-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-05-16 2019-06-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-05-16 2019-06-18 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2019-05-16 2019-06-18 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 2019-06-18 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-05-16 2019-06-18 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 2019-05-16 2019-06-18 N
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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-01-27 Not Fixed N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-01-27 Not Fixed N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-01-27 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 2021-01-27 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 necessary and PRN use is limited. Health 2021-01-27 Not Fixed N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2021-01-27 Not Fixed N
Provide and implement an infection prevention and control program. Health 2021-01-27 Not Fixed N