Deficiency Records for Samaritas Senior Living Grand Rapids Lodge
Updated as of February 01, 2019
This is not the most recent data for Samaritas Senior Living Grand Rapids Lodge. For the most recent information, click here.
A list of the most recent deficiencies for Samaritas Senior Living Grand Rapids Lodge. 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 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 | 2018-10-18 | 2018-12-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-10-18 | 2018-11-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-18 | 2018-11-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-18 | 2018-11-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-18 | 2018-11-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-18 | 2018-11-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-10-18 | 2018-11-21 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2018-10-18 | 2018-11-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-11-21 | 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 | 2018-10-18 | 2018-11-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-18 | 2018-11-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-18 | 2018-11-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-18 | 2018-11-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-18 | 2018-11-21 | 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 ne | Health | 2018-10-18 | 2018-11-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2018-11-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-10-18 | 2018-11-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2018-11-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-18 | 2018-11-21 | 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 | 2018-05-11 | 2018-06-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-11 | 2018-06-08 | Y |
| 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 ne | Health | 2018-05-11 | 2018-06-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-11 | 2018-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-09 | 2018-03-26 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-26 | 2017-12-04 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-26 | 2017-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-26 | 2017-12-04 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-26 | 2017-12-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-26 | 2017-12-04 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2017-10-26 | 2017-12-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-26 | 2017-12-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-26 | 2017-12-04 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-10-26 | 2017-12-04 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2017-10-26 | 2017-12-04 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-03-16 | 2017-04-13 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-16 | 2017-04-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-05 | 2017-01-30 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2016-12-07 | 2017-01-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2016-12-07 | 2017-01-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2016-12-07 | 2017-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-12-07 | 2017-01-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2016-12-07 | 2017-01-26 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2016-12-07 | 2017-01-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2016-12-07 | 2017-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-12-07 | 2017-01-26 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-12-07 | 2017-01-26 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-07 | 2017-01-26 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-07 | 2017-01-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-07 | 2017-01-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-07 | 2017-01-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-12-07 | 2017-01-26 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2016-12-07 | 2017-01-26 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-12-07 | 2017-01-26 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-01 | 2016-12-23 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-27 | 2016-11-18 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2016-10-27 | 2016-11-18 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-29 | 2016-09-13 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-29 | 2016-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-29 | 2016-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-17 | 2016-08-12 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-03-03 | 2016-04-08 | Y |
