A list of the most recent deficiencies for Good Samaritan Society - Grants. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-20 | 2023-05-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-20 | 2023-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-20 | 2023-05-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-05-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-20 | 2023-05-04 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-03-20 | 2023-05-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-20 | 2023-05-04 | 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 | 2023-03-20 | 2023-05-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-20 | 2023-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-20 | 2023-05-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-20 | 2023-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-20 | 2023-05-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-20 | 2023-05-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-03-20 | 2023-05-04 | 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 | 2023-02-21 | 2023-02-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-21 | 2023-02-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-22 | 2022-03-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-02-22 | 2022-03-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-02-22 | 2022-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-25 | 2022-03-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-15 | 2021-11-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-10-15 | 2021-11-11 | 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 | 2020-12-03 | 2021-01-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-03 | 2021-01-05 | 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 | 2020-12-03 | 2021-01-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-12-03 | 2021-01-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-03 | 2021-01-05 | N |
| Provide activities to meet all resident's needs. | Health | 2020-12-03 | 2021-01-05 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2020-12-03 | 2021-01-05 | 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 | 2020-12-03 | 2021-01-05 | N |
| Provide or obtain dental services for each resident. | Health | 2020-12-03 | 2021-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-03 | 2021-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-03 | 2021-01-05 | N |
| Report COVID19 data to residents and families. | Health | 2020-12-03 | 2021-01-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-12-03 | 2021-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-11-25 | 2020-12-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-11-25 | 2020-12-01 | N |
