A list of the most recent deficiencies for Good Samaritan Society - Westbrook. 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 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 | 2023-12-06 | 2024-01-17 | 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 | 2023-12-06 | 2024-01-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-06 | 2024-01-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-06 | 2024-01-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-06 | 2024-01-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-06 | 2024-01-02 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-12-06 | 2023-12-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-03-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-16 | 2023-03-29 | Y |
| 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 | 2023-02-16 | 2023-03-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-16 | 2023-03-29 | 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 | 2023-02-16 | 2023-03-29 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-16 | 2023-03-29 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-02-16 | 2023-03-29 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-14 | 2023-03-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-14 | 2023-02-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-13 | 2022-03-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-13 | 2022-03-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-01-13 | 2022-03-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-19 | 2022-02-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-19 | 2022-02-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-27 | 2021-09-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-27 | 2021-09-30 | Y |
| 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 | 2021-07-27 | 2021-09-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-05 | 2021-04-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-03-03 | 2021-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-03 | 2021-03-04 | N |
