Deficiency Records for Good Samaritan Society - Millard
Updated as of October 01, 2016
This is not the most recent data for Good Samaritan Society - Millard. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-31 | 2016-04-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-31 | 2016-04-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-31 | 2016-04-22 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-03-31 | 2016-04-22 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-11-19 | 2015-12-15 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-11-19 | 2015-12-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-11-19 | 2015-12-15 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-19 | 2015-12-15 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-11-19 | 2015-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-19 | 2015-12-15 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-11-19 | 2015-12-15 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Exits that are accessible at all times. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Properly protected cooking facilities. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-11-24 | 2015-12-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-11-19 | 2015-12-15 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-11-19 | 2015-12-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-11-19 | 2015-12-15 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-11-19 | 2015-12-15 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-11-19 | 2015-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-11-19 | 2015-12-15 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-11-19 | 2015-12-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-04-14 | 2015-05-29 | Y |
| 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 | 2015-04-14 | 2015-05-29 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-14 | 2015-05-29 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-04-14 | 2015-05-29 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-04-14 | 2015-05-29 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-04-14 | 2015-05-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-04-14 | 2015-05-29 | Y |
| 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 | 2015-04-14 | 2015-05-29 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-04-14 | 2015-05-29 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-04-14 | 2015-05-29 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-04-14 | 2015-05-29 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2015-04-14 | 2015-05-29 | Y |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-12-03 | 2015-01-17 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2014-12-03 | 2015-01-17 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-11-18 | 2014-12-24 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-11-18 | 2014-12-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-11-18 | 2014-12-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-11-18 | 2014-12-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-11-18 | 2014-12-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-11-18 | 2014-12-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-11-18 | 2014-12-24 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-11-18 | 2014-12-24 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2014-11-18 | 2014-12-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-11-18 | 2014-12-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-11-18 | 2014-12-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-11-18 | 2014-12-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-11-18 | 2014-12-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-11-18 | 2014-12-24 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-12-03 | 2014-12-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-12-03 | 2014-12-15 | N |
| Approved construction type or materials. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Approved construction type or materials. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-12-03 | 2014-12-05 | N |
| Try to resolve each resident's complaints quickly. | Health | 2014-07-24 | 2014-09-07 | Y |
| 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 | 2014-07-24 | 2014-09-07 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-07-24 | 2014-09-07 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2014-07-24 | 2014-09-07 | Y |
| 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 | 2014-07-24 | 2014-09-07 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-07-24 | 2014-09-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-12-05 | 2014-01-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2013-12-05 | 2014-01-28 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2013-12-05 | 2014-01-28 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2013-12-05 | 2014-01-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2013-12-05 | 2014-01-28 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2013-12-05 | 2014-01-28 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2013-12-05 | 2014-01-28 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2013-12-05 | 2014-01-28 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-11-07 | 2013-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-07 | 2013-12-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-11-07 | 2013-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-11-07 | 2013-12-22 | Y |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Exits that are accessible at all times. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Properly protected cooking facilities. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Other fire safety features required by fire safety codes. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2013-07-23 | 2013-09-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-07-23 | 2013-09-04 | 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 | 2013-07-22 | 2013-08-12 | N |
| Provide housekeeping and maintenance services. | Health | 2013-07-22 | 2013-08-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-07-22 | 2013-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-07-22 | 2013-08-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-07-22 | 2013-08-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-07-22 | 2013-08-12 | 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 | 2013-07-22 | 2013-08-12 | N |
| Provide housekeeping and maintenance services. | Health | 2013-07-22 | 2013-08-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-07-22 | 2013-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-07-22 | 2013-08-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-07-22 | 2013-08-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-07-22 | 2013-08-12 | N |
