Deficiency Records for Good Shepherd Care Center
Updated as of September 01, 2019
This is not the most recent data for Good Shepherd Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Good Shepherd Care Center. 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-07 | 2019-01-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-07 | 2019-01-02 | 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 ne | Health | 2018-12-07 | 2019-01-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-07 | 2019-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-07 | 2019-01-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-07 | 2018-12-07 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-12-22 | 2018-02-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-22 | 2018-02-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-22 | 2018-02-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-22 | 2018-02-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-12-22 | 2018-02-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2017-12-22 | 2018-02-04 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-22 | 2018-02-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2017-12-22 | 2018-02-04 | 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 | 2017-12-22 | 2018-02-04 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2017-12-22 | 2018-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-22 | 2018-02-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-01-24 | 2017-03-01 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-24 | 2017-03-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-24 | 2017-03-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-24 | 2017-03-01 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-24 | 2017-03-01 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-24 | 2017-01-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-01-24 | 2017-01-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-24 | 2017-01-25 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-01-24 | 2017-01-24 | N |
