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Deficiency Records for Good Samaritan Society - Colonial Villa
View the most recent health deficiencies and inspection results for Good Samaritan Society - Colonial Villa. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Good Samaritan Society - Colonial Villa. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-09-16 | 2025-10-27 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-09-16 | 2025-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-16 | 2025-10-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-09-16 | 2025-10-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-09-16 | 2025-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-09-16 | 2025-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-09-16 | 2025-10-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-23 | 2024-09-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-23 | 2024-09-04 | 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 | 2024-07-23 | 2024-09-04 | 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 | 2024-07-23 | 2024-09-04 | 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 | 2024-07-23 | 2024-09-04 | Y |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-23 | 2024-09-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-07-23 | 2024-09-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-07-23 | 2024-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-23 | 2024-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-23 | 2024-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-23 | 2024-09-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-23 | 2024-09-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-21 | 2023-07-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-21 | 2023-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-21 | 2023-07-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-21 | 2023-07-28 | N |