Deficiency Records for Good Samaritan Society - St Johns
Updated as of March 01, 2021
This is not the most recent data for Good Samaritan Society - St Johns. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-03 | 2020-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-03 | 2020-12-11 | 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 | 2019-09-04 | 2019-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-04 | 2019-10-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-04 | 2019-10-19 | N |
| Have proper openings in smoke barrier doors. | Fire Safety | 2019-09-04 | 2019-10-19 | N |
| Be properly staffed | Fire Safety | 2019-09-04 | 2019-10-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-04 | 2019-10-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-09-04 | 2019-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-04 | 2019-10-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-04 | 2019-10-19 | 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 | 2019-09-04 | 2019-10-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-09-04 | 2019-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-04 | 2019-10-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-04 | 2019-10-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-09-04 | 2019-10-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-04 | 2019-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-04 | 2019-10-19 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2019-09-04 | 2019-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-04 | 2019-10-19 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-04 | 2019-10-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-16 | 2018-05-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-16 | 2018-05-31 | N |
| 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 | 2018-04-16 | 2018-05-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-04-16 | 2018-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-04-16 | 2018-05-31 | 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 | 2018-04-16 | 2018-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-16 | 2018-05-31 | 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 | 2018-04-16 | 2018-05-31 | 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 | 2018-04-16 | 2018-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-16 | 2018-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-04-16 | 2018-05-31 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2018-04-16 | 2018-05-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-16 | 2018-05-31 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-04-16 | 2018-05-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-16 | 2018-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-16 | 2018-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-16 | 2018-05-31 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-04-12 | 2018-04-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-12 | 2018-04-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-04-12 | 2018-04-19 | N |
| Meet other general requirements. | Fire Safety | 2017-03-07 | 2017-04-22 | 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 | 2017-03-07 | 2017-04-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-03-07 | 2017-04-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-08 | 2017-04-22 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-03-08 | 2017-04-22 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-08 | 2017-04-22 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-03-08 | 2017-04-22 | 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 | 2017-03-08 | 2017-04-22 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-03-08 | 2017-04-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-08 | 2017-04-22 | N |
