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 |