A list of the most recent deficiencies for Good Samaritan Society - Superior. 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 | 2023-06-27 | 2023-08-11 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| 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 | 2023-06-27 | 2023-08-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-27 | 2023-08-11 | 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 | 2023-06-27 | 2023-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-27 | 2023-08-11 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-06-27 | 2023-08-11 | 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 | 2022-04-07 | 2022-05-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-07 | 2022-05-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-04-07 | 2022-05-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-07 | 2022-05-18 | 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 | 2022-04-07 | 2022-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-05-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-05 | 2022-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-05-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-05 | 2022-05-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-05 | 2022-05-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-04-05 | 2022-05-18 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-09 | 2021-11-22 | 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 | 2020-09-01 | 2020-10-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-09-01 | 2020-10-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-01 | 2020-10-16 | 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 | 2020-09-01 | 2020-10-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-09-01 | 2020-10-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-09-01 | 2020-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-01 | 2020-10-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2020-09-01 | 2020-10-16 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-09-01 | 2020-10-16 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-09-01 | 2020-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-01 | 2020-10-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
| 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 | 2020-08-31 | 2020-10-16 | 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 | 2020-08-31 | 2020-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-31 | 2020-10-16 | N |
