Deficiency Records for Good Samaritan Society - Comforcare

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Updated as of March 01, 2024

A list of the most recent deficiencies for Good Samaritan Society - Comforcare. 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?
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 2023-12-28 2024-01-31 N
Assess the resident when there is a significant change in condition Health 2023-12-28 2024-01-31 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-12-28 2024-01-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-28 2024-01-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-28 2024-01-31 N
Post nurse staffing information every day. Health 2023-12-28 2024-01-31 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-12-28 2024-01-31 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-12-28 2024-01-31 N
Address patient/client population and determine types of services needed. Fire Safety 2023-12-28 2024-01-31 N
Provide properly protected cooking facilities. Fire Safety 2023-12-27 2024-01-31 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-12-27 2024-01-31 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-12-27 2024-01-31 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-12-27 2024-01-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-12-27 2024-01-31 N
Have proper medical gas storage and administration areas. Fire Safety 2023-12-27 2024-01-31 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-06-27 2023-07-27 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-07-20 2022-08-26 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-07-20 2022-08-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-07-20 2022-08-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-20 2022-08-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-07-20 2022-08-26 N
Have proper medical gas storage and administration areas. Fire Safety 2022-07-20 2022-08-26 N
Implement emergency and standby power systems. Fire Safety 2022-07-22 2022-08-01 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-06-29 2021-07-30 Y
Provide or arrange emergency care by a doctor 24 hours a day. Health 2021-06-29 2021-07-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-03-22 2021-06-11 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 2021-03-22 2021-06-11 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-03-22 2021-06-11 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-03-22 2021-04-30 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-03-22 2021-04-30 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 2021-03-22 2021-04-30 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-03-22 2021-04-30 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 2021-03-22 2021-04-30 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2021-03-22 2021-04-30 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2021-03-22 2021-04-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-03-22 2021-04-30 N
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 2021-03-22 2021-04-30 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2021-03-22 2021-04-30 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2021-03-22 2021-04-30 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 2021-03-22 2021-04-30 Y
Post nurse staffing information every day. Health 2021-03-22 2021-04-30 Y
Ensure that residents are free from significant medication errors. Health 2021-03-22 2021-04-30 Y
Have power receptacles that are properly grounded. Fire Safety 2021-03-17 2021-03-25 N