Deficiency Records for Good Samaritan Society Inver Grove Heights
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society Inver Grove Heights. 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 | 2023-10-30 | 2023-11-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-05 | 2023-10-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-05 | 2023-10-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-10-05 | 2023-10-27 | 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 | 2023-10-05 | 2023-10-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-05 | 2023-10-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-10-05 | 2023-10-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-05 | 2023-10-27 | 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 | 2023-10-05 | 2023-10-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-05 | 2023-10-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-10-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-10-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-05 | 2023-10-27 | N |
| Post nurse staffing information every day. | Health | 2023-10-05 | 2023-10-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-05 | 2023-10-27 | 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 | 2023-10-05 | 2023-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-05 | 2023-10-27 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-05 | 2023-10-27 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-10-05 | 2023-10-27 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-10-05 | 2023-10-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-05 | 2023-10-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-05 | 2023-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-04 | 2023-10-27 | 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 | 2023-10-04 | 2023-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-10-27 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-25 | 2023-06-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-03-08 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-01-12 | 2023-02-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-12 | 2023-02-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-12 | 2023-02-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-12 | 2023-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-12 | 2023-02-07 | 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 | 2023-01-12 | 2023-02-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-01-12 | 2023-02-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-12 | 2023-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-12 | 2023-02-07 | 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 | 2023-01-12 | 2023-02-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-12 | 2023-02-07 | N |
| Post nurse staffing information every day. | Health | 2023-01-12 | 2023-02-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-12 | 2023-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-12 | 2023-02-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-12 | 2023-02-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-01-12 | 2023-02-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-01-12 | 2023-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-16 | 2022-12-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-16 | 2022-12-23 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-16 | 2022-12-23 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-16 | 2022-12-23 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-16 | 2022-12-23 | Y |
