Deficiency Records for Good Samaritan Society - International Falls
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society - International Falls. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-10-19 | 2023-11-29 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-19 | 2023-11-28 | 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 | 2023-10-19 | 2023-11-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-19 | 2023-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-19 | 2023-11-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-19 | 2023-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-19 | 2023-11-28 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-10-19 | 2023-11-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-17 | 2023-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-07-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-02 | 2023-01-17 | 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 | 2022-12-02 | 2023-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-02 | 2023-01-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-02 | 2023-01-17 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-29 | 2023-01-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-29 | 2023-01-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-29 | 2023-01-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-29 | 2023-01-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-29 | 2023-01-17 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-11-29 | 2023-01-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-29 | 2022-07-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-27 | 2022-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-27 | 2022-06-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-31 | 2022-03-31 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-04-01 | 2021-05-18 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-01 | 2021-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-01 | 2021-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-01 | 2021-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-05-18 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-01 | 2021-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-30 | 2021-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-30 | 2021-05-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-30 | 2021-05-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-30 | 2021-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-30 | 2021-05-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-30 | 2021-05-18 | N |
