Deficiency Records for Samaritas Senior Living Grand Rapids Lodge
Updated as of April 01, 2022
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-14 | 2022-01-05 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-10-21 | 2021-12-10 | 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 | 2021-10-21 | 2021-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-21 | 2021-11-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-21 | 2021-11-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-21 | 2021-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-21 | 2021-11-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-21 | 2021-11-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-21 | 2021-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-21 | 2021-11-19 | 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 | 2021-10-21 | 2021-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-21 | 2021-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-19 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-10-21 | 2021-11-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-21 | 2021-11-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-06 | 2021-11-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-14 | 2021-08-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-03-03 | 2021-03-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-03 | 2021-03-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-07-14 | 2020-08-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-14 | 2020-08-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-14 | 2020-08-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-07-14 | 2020-08-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-14 | 2020-08-19 | Y |
| Implement a program that monitors antibiotic use. | Health | 2020-07-14 | 2020-08-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-04 | 2020-01-23 | 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 | 2019-12-04 | 2020-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-04 | 2020-01-23 | 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 | 2019-12-04 | 2020-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-04 | 2020-01-23 | 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 | 2019-12-04 | 2020-01-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-12-04 | 2020-01-23 | 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 | 2019-12-04 | 2020-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-04 | 2020-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-04 | 2020-01-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-02 | 2020-01-23 | N |
| 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 | 2019-12-02 | 2020-01-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-12-02 | 2020-01-23 | 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 | 2019-12-02 | 2020-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-02 | 2020-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-02 | 2020-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-02 | 2020-01-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-02 | 2020-01-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-02 | 2020-01-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-02 | 2020-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-02 | 2020-01-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-11 | 2019-10-16 | Y |
| 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 | 2019-09-11 | 2019-10-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-11 | 2019-10-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-09-11 | 2019-10-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-10-16 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-11 | 2019-10-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-20 | 2019-09-24 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-20 | 2019-09-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-08-20 | 2019-09-24 | Y |
| 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 |
| 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 necessary and PRN use is limited. | 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 |
| 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 |
