Deficiency Records for Good Samaritan Society - Valentine
Updated as of March 01, 2022
This is not the most recent data for Good Samaritan Society - Valentine. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Valentine. 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? |
|---|---|---|---|---|
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-02-24 | 2021-04-05 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-02-24 | 2021-04-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-24 | 2021-04-05 | 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 | 2021-02-23 | 2021-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-23 | 2021-03-13 | 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 | 2019-07-31 | 2019-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-31 | 2019-10-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-31 | 2019-10-04 | 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 | 2019-07-31 | 2019-10-04 | 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 necessary and PRN use is limited. | Health | 2019-07-31 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-31 | 2019-10-04 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-07-31 | 2019-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-30 | 2019-09-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-30 | 2019-09-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-06-04 | 2019-07-12 | Y |
| Provide activities to meet all resident's needs. | Health | 2019-06-04 | 2019-07-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-05-30 | 2018-07-14 | N |
| 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 | 2018-05-30 | 2018-07-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-05-30 | 2018-07-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-05-30 | 2018-07-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-30 | 2018-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-30 | 2018-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-30 | 2018-07-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-30 | 2018-07-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-30 | 2018-07-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-05-30 | 2018-07-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-30 | 2018-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-30 | 2018-07-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-30 | 2018-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-30 | 2018-07-14 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-05-30 | 2018-07-14 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-05-30 | 2018-07-14 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-05-30 | 2018-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-23 | 2018-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-05-23 | 2018-07-14 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-05-23 | 2018-07-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-05-23 | 2018-07-14 | N |
