Deficiency Records for Good Shepherd Community Care and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Shepherd Community Care and Rehabilitation. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-22 | 2022-07-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-25 | 2022-04-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-25 | 2022-04-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-25 | 2022-03-27 | 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 | 2022-03-25 | 2022-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-25 | 2022-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-09-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-31 | 2019-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-31 | 2019-08-16 | 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 | 2019-07-31 | 2019-08-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-07-31 | 2019-08-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-21 | 2018-11-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-21 | 2018-10-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-09-21 | 2018-10-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-21 | 2018-10-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-21 | 2018-10-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-09-21 | 2018-10-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-09-21 | 2018-10-05 | N |
