Deficiency Records for Good Samaritan Society - Superior
Updated as of October 01, 2020
This is not the most recent data for Good Samaritan Society - Superior. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-26 | 2019-02-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-12-26 | 2019-02-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-26 | 2019-02-17 | N |
| Be properly staffed | Fire Safety | 2018-12-26 | 2019-02-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-26 | 2019-02-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-26 | 2019-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-26 | 2019-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-03 | 2019-02-17 | 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 | 2019-01-03 | 2019-02-17 | 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 | 2019-01-03 | 2019-02-17 | 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 | 2019-01-03 | 2019-02-17 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-01-03 | 2019-02-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-01-03 | 2019-02-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-03 | 2019-02-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-03 | 2019-02-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-01-03 | 2019-02-17 | 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 | 2019-01-03 | 2019-02-17 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-02 | 2017-12-17 | N |
| Provide housekeeping and maintenance services. | Health | 2017-11-02 | 2017-12-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-11-02 | 2017-12-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-02 | 2017-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-02 | 2017-12-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-02 | 2017-12-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-11-02 | 2017-12-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-11-02 | 2017-12-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-02 | 2017-12-17 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-11-02 | 2017-12-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-11-02 | 2017-12-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-11-02 | 2017-12-17 | N |
| Meet other general requirements. | Fire Safety | 2017-10-31 | 2017-12-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-10-31 | 2017-12-15 | 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 | 2017-10-31 | 2017-12-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-31 | 2017-12-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-10-31 | 2017-12-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-31 | 2017-12-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-08-04 | 2016-09-20 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-04 | 2016-09-20 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-08-04 | 2016-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-09 | 2016-09-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-08-09 | 2016-09-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-09 | 2016-09-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-09 | 2016-09-16 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-08-04 | 2016-09-15 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-08-04 | 2016-09-15 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-08-04 | 2016-09-15 | N |
