Deficiency Records for Good Samaritan Society - Comforcare
Updated as of March 01, 2022
This is not the most recent data for Good Samaritan Society - Comforcare. For the most recent information, click here.
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 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 |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-21 | 2020-01-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-12 | 2020-01-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-12-12 | 2020-01-15 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-03-20 | 2019-04-26 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-03-20 | 2019-04-26 | 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 | 2019-03-20 | 2019-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-20 | 2019-04-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-20 | 2019-04-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-20 | 2019-04-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-03-20 | 2019-04-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-03-20 | 2019-04-26 | 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 | 2019-03-20 | 2019-04-26 | 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 | 2019-03-20 | 2019-04-26 | 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 | 2019-03-20 | 2019-04-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-03-20 | 2019-04-26 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-03-20 | 2019-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-19 | 2019-04-03 | 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 | 2019-03-19 | 2019-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-19 | 2019-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-19 | 2019-03-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-19 | 2019-03-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-19 | 2019-03-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-08 | 2018-03-16 | 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 | 2018-02-08 | 2018-03-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-08 | 2018-03-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-08 | 2018-03-16 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-02-08 | 2018-03-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-02-08 | 2018-03-16 | 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 | 2018-02-08 | 2018-03-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-02-07 | 2018-03-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-07 | 2018-03-16 | N |
