A list of the most recent deficiencies for Good Samaritan Society - St Johns. 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-12-13 | 2024-01-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-13 | 2024-01-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-13 | 2024-01-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-13 | 2024-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-13 | 2024-01-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-13 | 2024-01-24 | 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 | 2023-12-13 | 2024-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-13 | 2024-01-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-11 | 2024-01-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-15 | 2022-12-31 | 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 | 2022-11-15 | 2022-12-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-15 | 2022-12-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-15 | 2022-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-15 | 2022-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-15 | 2022-12-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-17 | 2022-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-17 | 2022-12-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-17 | 2022-12-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-17 | 2022-12-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-17 | 2022-12-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-17 | 2022-12-30 | 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 | 2022-11-17 | 2022-12-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-17 | 2022-12-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-17 | 2022-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2022-12-30 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-11-17 | 2022-12-30 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-17 | 2022-12-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-02 | 2021-07-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-02 | 2021-07-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-02 | 2021-07-07 | 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 | 2021-06-02 | 2021-07-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-06-02 | 2021-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-02 | 2021-07-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-06-02 | 2021-07-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-02 | 2021-07-07 | 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 | 2021-06-02 | 2021-07-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-02 | 2021-07-07 | 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 | 2021-06-02 | 2021-07-07 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-06-02 | 2021-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-02 | 2021-07-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-06-02 | 2021-07-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-02 | 2021-07-07 | N |
