Deficiency Records for Good Samaritan Society - Pine River

(Home page)

Updated as of May 01, 2021

This is not the most recent data for Good Samaritan Society - Pine River. For the most recent information, click here.

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?
Provide and implement an infection prevention and control program. Health 2020-09-09 2020-10-14 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-11-06 2019-12-13 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2019-11-06 2019-12-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-11-06 2019-12-13 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-11-06 2019-12-13 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-11-06 2019-12-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-11-06 2019-12-13 N
Have restrictions on the use of flammable curtains. Fire Safety 2019-11-06 2019-12-13 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2019-11-06 2019-12-13 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-11-07 2019-12-06 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-11-07 2019-12-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-03-22 2019-04-26 N
Provide activities to meet all resident's needs. Health 2019-03-21 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 2019-03-21 2019-04-26 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 2019-03-21 2019-04-26 N
Post nurse staffing information every day. Health 2019-03-21 2019-04-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-21 2019-04-26 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2019-03-21 2019-04-26 N
Provide and implement an infection prevention and control program. Health 2019-03-21 2019-04-26 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-03-21 2019-04-26 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 2018-06-28 2018-08-03 N
Have proper medical gas storage and administration areas. Fire Safety 2018-06-28 2018-08-03 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 2018-06-28 2018-08-03 N
Keep residents' personal and medical records private and confidential. Health 2018-06-28 2018-08-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-06-28 2018-08-03 N
Provide activities to meet all resident's needs. Health 2018-06-28 2018-08-03 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 2018-06-28 2018-08-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-06-28 2018-08-03 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 2018-06-28 2018-08-03 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 2018-06-28 2018-08-03 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 2018-06-28 2018-08-03 N
Provide and implement an infection prevention and control program. Health 2018-06-28 2018-08-03 N