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Deficiency Records for Good Samaritan Society - Mary Jane Brown
View the most recent health deficiencies and inspection results for Good Samaritan Society - Mary Jane Brown. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Good Samaritan Society - Mary Jane Brown. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2026-04-01 | 2026-05-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-04-01 | 2026-05-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-04-01 | 2026-05-22 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2026-04-01 | 2026-05-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2026-04-01 | 2026-05-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2026-04-01 | 2026-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-01 | 2026-05-08 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2026-04-01 | 2026-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-14 | 2025-02-14 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-01-14 | 2025-02-14 | 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 | 2025-01-14 | 2025-02-14 | 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 | 2025-01-14 | 2025-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-14 | 2025-02-14 | 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 | 2025-01-14 | 2025-02-14 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-01-14 | 2025-02-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-14 | 2025-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-14 | 2025-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-14 | 2025-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-14 | 2025-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-27 | 2024-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-06 | 2024-09-06 | Y |
| 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 | 2024-08-06 | 2024-09-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-08 | 2024-03-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-08 | 2024-03-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-08 | 2024-03-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-08 | 2024-03-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-11-28 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-18 | 2023-11-28 | Y |
| 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 | 2023-10-18 | 2023-11-28 | Y |
| Keep all essential equipment working safely. | Health | 2023-10-18 | 2023-11-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-18 | 2023-11-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-10-18 | 2023-11-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-10-18 | 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 | 2023-10-18 | 2023-11-28 | 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 | 2023-10-18 | 2023-11-28 | 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 | 2023-10-18 | 2023-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-18 | 2023-11-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-18 | 2023-11-28 | 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 | 2023-10-18 | 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 | 2023-10-18 | 2023-11-28 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-10-18 | 2023-11-28 | N |