Deficiency Records for Good Samaritan Society - Superior
Updated as of January 01, 2021
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? |
---|---|---|---|---|
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 |
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 |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-07-08 | 2020-08-11 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-07-08 | 2020-08-11 | N |
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 |