Deficiency Records for Good Samaritan Society - Colonial Villa
Updated as of January 01, 2023
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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2022-04-13 | 2022-05-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-04-13 | 2022-05-20 | 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 | 2022-04-13 | 2022-05-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-13 | 2022-05-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-13 | 2022-05-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-13 | 2022-05-20 | 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 | 2022-04-13 | 2022-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-13 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-13 | 2022-05-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-13 | 2022-05-20 | 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 | 2022-04-07 | 2022-05-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-07 | 2022-05-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-07 | 2022-05-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-07 | 2022-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-07 | 2022-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-07 | 2022-05-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-06 | 2022-02-18 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-09-22 | 2020-10-09 | N |
| Meet other general requirements. | Fire Safety | 2020-09-17 | 2020-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-17 | 2020-10-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-09-17 | 2020-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-09-17 | 2020-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-01 | 2020-07-15 | N |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
