A list of the most recent deficiencies for Good Samaritan Society - Pine River. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-01-09 | 2024-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-09 | 2024-01-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-09 | 2024-01-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-09 | 2024-01-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-09 | 2024-01-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-09 | 2024-01-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-08 | 2024-01-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-01-08 | 2024-01-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-08 | 2024-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-08 | 2024-01-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-19 | 2023-05-22 | 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 | 2023-04-19 | 2023-05-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-19 | 2023-05-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-19 | 2023-05-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-19 | 2023-05-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-19 | 2023-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-21 | 2022-05-14 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-10-14 | 2021-11-23 | 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 | 2021-10-14 | 2021-11-23 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-14 | 2021-11-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-14 | 2021-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2021-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2021-11-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-14 | 2021-11-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-10-14 | 2021-11-12 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-10-14 | 2021-11-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-14 | 2021-10-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-10-14 | 2021-10-21 | N |
