Deficiency Records for Good Samaritan Society - Colonial Villa
Updated as of November 01, 2019
This is not the most recent data for Good Samaritan Society - Colonial Villa. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Colonial Villa. 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? |
---|---|---|---|---|
Implement emergency and standby power systems. | Fire Safety | 2019-04-18 | 2019-05-21 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-18 | 2019-05-21 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-18 | 2019-05-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-18 | 2019-05-21 | N |
Be properly staffed | Fire Safety | 2019-04-18 | 2019-05-21 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-18 | 2019-05-21 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-18 | 2019-05-21 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-22 | 2019-05-20 | 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 | 2019-04-22 | 2019-05-20 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-11 | 2018-02-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-02-28 | 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 | 2018-01-11 | 2018-02-28 | 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 | 2018-01-17 | 2018-02-14 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-17 | 2018-02-14 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-01-17 | 2018-02-14 | N |
Meet other general requirements that are deficient. | Fire Safety | 2016-12-01 | 2017-01-15 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-01 | 2016-12-29 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-01 | 2016-12-29 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-12-01 | 2016-12-29 | N |
Provide properly protected cooking facilities. | Fire Safety | 2016-12-01 | 2016-12-23 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-12-01 | 2016-12-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-01 | 2016-12-01 | N |