Deficiency Records for Good Samaritan Society - Superior
Updated as of August 01, 2022
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? |
---|---|---|---|---|
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 |
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 |
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 | Y |
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 |
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 |
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 |
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 | 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 |
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 |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |