Deficiency Records for Good Samaritan Society - Decatur County
Updated as of November 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-02-02 | 2021-02-28 | 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 | 2021-02-02 | 2021-02-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-02-02 | 2021-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-27 | 2021-02-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-01-27 | 2021-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-27 | 2021-02-25 | 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 | 2021-02-25 | 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 | 2021-02-25 | 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 | 2021-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-01-27 | 2021-02-25 | N |
| 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 |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2019-06-14 | 2019-06-28 | 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 | 2019-06-14 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-14 | 2019-06-28 | N |
| 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 |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-03 | 2018-02-07 | 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 | 2018-01-03 | 2018-02-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-01-03 | 2018-02-07 | N |
