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Deficiency Records for Good Samaritan Nursing Home Operator, LLC
View the most recent health deficiencies and inspection results for Good Samaritan Nursing Home Operator, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Good Samaritan Nursing Home Operator, LLC. Stay informed about quality of care issues.
| 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 | 2025-05-02 | 2025-07-05 | N |
| Meet other general requirements. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-02 | 2025-07-05 | 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 | 2025-05-02 | 2025-07-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-02 | 2025-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-05-02 | 2025-06-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-05-02 | 2025-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-02 | 2025-06-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-05-02 | 2025-06-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-02 | 2025-06-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-05-02 | 2025-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-05-02 | 2025-06-15 | N |
| Provide or obtain dental services for each resident. | Health | 2025-05-02 | 2025-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-02 | 2025-06-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-05-02 | 2025-06-15 | Y |
| 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 | 2025-05-02 | 2025-06-15 | Y |
| Assess the resident when there is a significant change in condition | Health | 2025-05-02 | 2025-06-15 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-01-28 | 2025-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-28 | 2025-03-03 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-15 | 2021-09-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-15 | 2021-09-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-15 | 2021-09-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-15 | 2021-09-24 | 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 | 2021-07-15 | 2021-09-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-15 | 2021-08-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-15 | 2021-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-15 | 2021-08-16 | 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 | 2021-07-15 | 2021-08-16 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-07-15 | 2021-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-14 | 2018-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-14 | 2018-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-14 | 2018-10-15 | N |
| Meet other general requirements. | Fire Safety | 2018-08-14 | 2018-10-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-14 | 2018-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-14 | 2018-10-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-08-14 | 2018-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-14 | 2018-09-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-14 | 2018-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-14 | 2018-09-27 | N |
| Provide or obtain dental services for each resident. | Health | 2018-08-14 | 2018-09-27 | 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 | 2018-08-14 | 2018-09-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-14 | 2018-09-27 | 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 | 2018-08-14 | 2018-09-27 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-08-14 | 2018-09-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-08-14 | 2018-09-27 | 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 | 2018-08-14 | 2018-09-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-08-14 | 2018-09-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-14 | 2018-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-14 | 2018-09-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-08-14 | 2018-09-27 | 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 | 2018-08-14 | 2018-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-14 | 2018-09-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-14 | 2018-09-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-14 | 2018-09-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-14 | 2018-09-27 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-14 | 2018-09-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-08-14 | 2018-09-27 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-08-14 | 2018-09-27 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-08-14 | 2018-09-27 | N |