Deficiency Records for Good Samaritan Society - Grand Island Village
Updated as of August 01, 2018
This is not the most recent data for Good Samaritan Society - Grand Island Village. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-06-11 | 2018-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-11 | 2018-07-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-11 | 2018-07-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-06-11 | 2018-07-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-06-11 | 2018-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-11 | 2018-07-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-06-11 | 2018-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-11 | 2018-07-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-11 | 2018-07-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-11 | 2018-07-26 | 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 | 2018-06-11 | 2018-07-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-11 | 2018-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-11 | 2018-07-26 | 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 | 2018-06-11 | 2018-07-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-11 | 2018-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-11 | 2018-07-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-06-11 | 2018-07-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-11 | 2018-07-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-11 | 2018-07-26 | 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 ne | Health | 2018-06-11 | 2018-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-11 | 2018-07-26 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-11 | 2018-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-11 | 2018-07-26 | N |
| Meet other general requirements. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-24 | 2017-07-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-24 | 2017-07-09 | 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 | 2017-05-25 | 2017-06-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-25 | 2017-06-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-25 | 2017-06-19 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-05-25 | 2017-06-19 | Y |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-03-28 | 2016-05-19 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-03-31 | 2016-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-31 | 2016-05-15 | 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 | 2016-03-31 | 2016-05-15 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2016-03-31 | 2016-05-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-31 | 2016-05-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-31 | 2016-05-15 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-03-31 | 2016-05-15 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-31 | 2016-05-15 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-28 | 2016-05-06 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-03-28 | 2016-05-06 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2016-03-28 | 2016-05-06 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2016-03-28 | 2016-05-06 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-03-28 | 2016-05-01 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-03-28 | 2016-04-28 | N |
| Corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2016-03-28 | 2016-04-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-03-28 | 2016-04-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-28 | 2016-04-28 | N |
