A list of the most recent deficiencies for Good Samaritan Society - Millard. 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 residents are free from significant medication errors. | Health | 2023-09-26 | 2023-11-03 | Y |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-21 | 2023-10-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-06 | 2023-07-14 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-06 | 2023-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-06 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-06 | 2023-07-14 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-06-06 | 2023-07-14 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-06 | 2023-07-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-12 | 2022-09-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-16 | 2022-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-16 | 2022-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-16 | 2022-08-30 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Use approved construction type or materials. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-12 | 2022-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-26 | 2022-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-26 | 2022-01-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-18 | 2021-05-28 | 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 | 2021-05-18 | 2021-05-28 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-05-18 | 2021-05-28 | Y |
| 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 | 2021-05-13 | 2021-05-28 | N |
