A list of the most recent deficiencies for Goodwill Mennonite Home, Inc.. 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? |
|---|---|---|---|---|
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-24 | 2022-03-18 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-03-06 | 2020-03-25 | 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 | 2020-03-06 | 2020-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-06 | 2020-03-25 | N |
| Provide activities to meet all resident's needs. | Health | 2020-03-06 | 2020-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-06 | 2020-03-25 | 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 | 2020-03-06 | 2020-03-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-06 | 2020-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-09 | 2020-03-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-03-09 | 2020-03-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-03-09 | 2020-03-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-09-07 | 2018-11-29 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-09-07 | 2018-11-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-07 | 2018-11-29 | 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 | 2018-09-07 | 2018-11-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-09-07 | 2018-11-29 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2018-09-07 | 2018-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-07 | 2018-11-29 | 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 | 2018-09-07 | 2018-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-07 | 2018-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-07 | 2018-11-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-07 | 2018-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-12 | 2018-10-04 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-09-12 | 2018-10-04 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-09-12 | 2018-10-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-06-12 | 2017-08-11 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-06-12 | 2017-08-11 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-08 | 2017-07-31 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-08 | 2017-07-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-07-31 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-06-08 | 2017-07-31 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-08 | 2017-07-31 | N |
