Deficiency Records for Good Samaritan Society - Grand Island Village
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society - Grand Island Village. 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 | 2023-11-14 | 2023-12-31 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-11-14 | 2023-12-31 | 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 | 2023-11-14 | 2023-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-14 | 2023-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2023-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-14 | 2023-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2023-12-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-16 | 2023-12-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-16 | 2023-12-22 | 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 | 2023-11-16 | 2023-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-22 | Y |
| 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 | 2022-12-13 | 2023-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-13 | 2023-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-13 | 2023-01-05 | 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 | 2022-12-13 | 2023-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-13 | 2023-01-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-13 | 2023-01-05 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-12-13 | 2023-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-13 | 2023-01-05 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-12-13 | 2023-01-05 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-13 | 2023-01-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-12 | 2022-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-12 | 2022-12-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-12-12 | 2022-12-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-12-12 | 2022-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-12 | 2022-12-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-12 | 2022-12-30 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-07-21 | 2022-08-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-21 | 2022-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-21 | 2022-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-08 | 2022-08-05 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-05-18 | 2022-08-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-18 | 2022-08-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-18 | 2022-08-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-18 | 2022-06-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-18 | 2022-06-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-18 | 2022-06-14 | 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 | 2022-05-18 | 2022-06-14 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-18 | 2022-06-14 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-20 | 2022-02-25 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-08-19 | 2021-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-19 | 2021-09-28 | N |
| Post nurse staffing information every day. | Health | 2021-08-19 | 2021-09-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-19 | 2021-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-19 | 2021-09-28 | 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 | 2021-08-17 | 2021-09-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-17 | 2021-09-28 | N |
