Deficiency Records for Good Samaritan Society - Manzano Del Sol
Updated as of October 01, 2016
This is not the most recent data for Good Samaritan Society - Manzano Del Sol. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Manzano Del Sol. 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? |
|---|---|---|---|---|
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| Proper construction of ducts through walls designed to prevent smoke passage. | Fire Safety | 2016-05-03 | 2016-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-05-10 | 2016-06-28 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-05-10 | 2016-06-28 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-05-10 | 2016-06-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-10 | 2016-06-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-10 | 2016-06-28 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-05-10 | 2016-06-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-10 | 2016-06-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-05-10 | 2016-06-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-10 | 2016-06-28 | 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 | 2016-05-10 | 2016-06-28 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-05-10 | 2016-06-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-10 | 2016-06-28 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-05-10 | 2016-06-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-10 | 2016-06-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-05-10 | 2016-06-28 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-05-10 | 2016-06-28 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-05-10 | 2016-06-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-05-10 | 2016-06-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-05-10 | 2016-06-28 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-05-10 | 2016-06-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-10 | 2016-06-28 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-05-10 | 2016-06-28 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-10 | 2016-06-28 | 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 | 2016-05-10 | 2016-06-28 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-05-10 | 2016-06-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-05-10 | 2016-06-28 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-05-10 | 2016-06-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-10 | 2016-06-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-05-22 | 2015-06-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-05-22 | 2015-06-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-05-22 | 2015-06-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-22 | 2015-06-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-05-22 | 2015-06-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-22 | 2015-06-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-05-22 | 2015-06-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-05-22 | 2015-06-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-05-22 | 2015-06-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-05-22 | 2015-06-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-05-22 | 2015-06-28 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-05-22 | 2015-06-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-22 | 2015-06-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-05-22 | 2015-06-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-22 | 2015-06-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-05-22 | 2015-06-28 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-05-22 | 2015-06-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-05-22 | 2015-06-28 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-05-18 | 2015-05-18 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-05-18 | 2015-05-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-05-18 | 2015-05-18 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-05-18 | 2015-05-18 | N |
| Exits that are accessible at all times. | Fire Safety | 2014-06-24 | 2014-08-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-30 | 2014-08-04 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-06-30 | 2014-08-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-30 | 2014-08-04 | Y |
| Exits that are accessible at all times. | Fire Safety | 2014-06-24 | 2014-08-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-06-30 | 2014-08-04 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2014-06-30 | 2014-08-04 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-06-30 | 2014-08-04 | Y |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-06-24 | 2014-07-28 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-06-24 | 2014-07-28 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-06-24 | 2014-07-28 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-06-24 | 2014-07-28 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-06-24 | 2014-07-25 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-06-24 | 2014-07-25 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-06-24 | 2014-07-24 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2014-06-24 | 2014-07-24 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-06-24 | 2014-06-25 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2014-06-24 | 2014-06-25 | N |
