Deficiency Records for Good Samaritan Society - Pine River

(Home page)

Updated as of April 01, 2022

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?
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
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
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
Have simulated fire drills held at unexpected times. Fire Safety 2019-03-22 2019-04-26 N