Deficiency Records for Mary Goss Nursing Home
Updated as of October 01, 2021
This is not the most recent data for Mary Goss Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Mary Goss Nursing Home. 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 | 2020-06-30 | 2020-07-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-07 | 2019-12-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-07 | 2019-12-15 | 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 | 2019-11-07 | 2019-12-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-07 | 2019-12-15 | 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 | 2019-11-07 | 2019-12-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-07 | 2019-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-15 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-03-13 | 2019-03-25 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-03-13 | 2019-03-25 | Y |
| 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 | 2019-03-13 | 2019-03-25 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-11-01 | 2018-11-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-01 | 2018-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-04 | Not Fixed | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-04 | Not Fixed | N |
| 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 | 2021-08-05 | Not Fixed | 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 | 2021-08-05 | Not Fixed | N |
