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Deficiency Records for Good Samaritan Society - St Luke's Village
View the most recent health deficiencies and inspection results for Good Samaritan Society - St Luke's Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Good Samaritan Society - St Luke's Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-16 | 2025-05-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-16 | 2025-05-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-28 | 2025-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-28 | 2025-03-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-28 | 2025-03-12 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-01-28 | 2025-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-28 | 2025-03-12 | 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 | 2025-01-28 | 2025-03-12 | 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 | 2025-01-28 | 2025-03-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-28 | 2025-03-12 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-01-28 | 2025-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-28 | 2025-03-12 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-01-28 | 2025-03-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-28 | 2025-03-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-28 | 2025-03-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-01-28 | 2025-03-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-01-28 | 2025-03-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-28 | 2025-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-28 | 2025-03-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-05 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-05 | 2024-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-05 | 2024-03-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-05 | 2024-03-15 | 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 | 2024-02-05 | 2024-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-05 | 2024-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-05 | 2024-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-05 | 2024-03-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-05 | 2024-03-15 | 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 | 2022-12-19 | 2023-01-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-19 | 2023-01-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-19 | 2023-01-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-19 | 2023-01-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-19 | 2023-01-20 | 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 | 2022-12-19 | 2023-01-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-19 | 2023-01-20 | 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 | 2022-12-19 | 2023-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-19 | 2023-01-20 | N |