Deficiency Records for Good Samaritan Society Betty Dare
Updated as of January 01, 2021
This is not the most recent data for Good Samaritan Society Betty Dare. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society Betty Dare. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-21 | 2020-03-30 | N |
| 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 | 2020-02-21 | 2020-03-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-21 | 2020-03-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-21 | 2020-03-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-21 | 2020-03-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-21 | 2020-03-30 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-21 | 2020-03-30 | 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 | 2020-02-21 | 2020-03-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-21 | 2020-03-30 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2020-02-21 | 2020-03-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-21 | 2020-03-30 | 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 | 2020-02-21 | 2020-03-30 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2020-02-21 | 2020-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-03-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-21 | 2020-03-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-21 | 2020-03-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-06 | 2020-01-24 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-02-05 | 2019-03-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-05 | 2019-03-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-05 | 2019-03-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-05 | 2019-03-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-05 | 2019-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-05 | 2019-03-22 | N |
| 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 | 2019-02-08 | 2019-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-08 | 2019-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-08 | 2019-03-22 | 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 | 2019-02-08 | 2019-03-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-08 | 2019-03-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-08 | 2019-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-03-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-08 | 2019-03-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-02-08 | 2019-03-22 | 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 | 2019-02-08 | 2019-03-22 | Y |
| Post nurse staffing information every day. | Health | 2019-02-08 | 2019-03-22 | Y |
| 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 | 2019-02-08 | 2019-03-22 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-02-08 | 2019-03-22 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-02-14 | 2018-03-21 | 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 | 2018-02-14 | 2018-03-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-14 | 2018-03-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-20 | 2018-03-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-02-20 | 2018-03-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-20 | 2018-03-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-02-20 | 2018-03-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-20 | 2018-03-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-02-20 | 2018-03-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-02-20 | 2018-03-21 | N |
| Respond appropriately to all alleged violations. | Health | 2018-02-20 | 2018-03-21 | 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 | 2018-02-20 | 2018-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-20 | 2018-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-20 | 2018-03-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-02-20 | 2018-03-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-02-20 | 2018-03-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-02-20 | 2018-03-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-02-20 | 2018-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-20 | 2018-03-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-02-20 | 2018-03-21 | N |
