Deficiency Records for Good Samaritan Society - Manzano Del Sol
Updated as of August 01, 2018
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? |
|---|---|---|---|---|
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-04-25 | 2018-06-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-25 | 2018-06-06 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-04-30 | 2018-06-01 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-04-30 | 2018-06-01 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-04-30 | 2018-06-01 | 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 | 2018-04-30 | 2018-06-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-04-30 | 2018-06-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-30 | 2018-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-30 | 2018-06-01 | 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 | 2018-04-30 | 2018-06-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-04-30 | 2018-06-01 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-04-30 | 2018-06-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-30 | 2018-06-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-30 | 2018-06-01 | 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 | 2018-04-30 | 2018-06-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-30 | 2018-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-30 | 2018-06-01 | 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 | 2018-04-30 | 2018-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-30 | 2018-06-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-30 | 2018-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-30 | 2018-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-30 | 2018-05-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-03 | 2017-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-03 | 2017-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-03 | 2017-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-03 | 2017-06-15 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2017-05-03 | 2017-06-15 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-11 | 2017-06-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-11 | 2017-06-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-05-11 | 2017-06-15 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-11 | 2017-06-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-11 | 2017-06-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-11 | 2017-06-15 | Y |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2017-05-11 | 2017-06-15 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-05-11 | 2017-06-15 | Y |
| 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 | 2017-05-11 | 2017-06-15 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-05-11 | 2017-06-15 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-05-11 | 2017-06-15 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-11 | 2017-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-11 | 2017-06-15 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-05-11 | 2017-06-15 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-11 | 2017-06-15 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-05-11 | 2017-06-15 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-11 | 2017-06-15 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-05-11 | 2017-06-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-16 | 2017-03-09 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-16 | 2017-03-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-16 | 2017-03-09 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-27 | 2017-01-17 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-10-27 | 2017-01-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-27 | 2017-01-17 | Y |
| 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 |
