Deficiency Records for Good Samaritan Society - Manzano Del Sol
Updated as of July 01, 2023
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? |
---|---|---|---|---|
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 | 2023-01-27 | 2023-03-15 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-27 | 2023-03-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-27 | 2023-03-15 | 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 | 2023-01-27 | 2023-03-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-03-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-27 | 2023-03-15 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-01-27 | 2023-03-15 | 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 | 2023-01-27 | 2023-03-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-27 | 2023-03-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-27 | 2023-03-15 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-01-27 | 2023-03-15 | Y |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-01-27 | 2023-03-15 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-24 | 2023-03-15 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-01-24 | 2023-03-15 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-24 | 2023-03-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-01 | 2022-04-16 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-01 | 2022-04-16 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-01 | 2022-04-16 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-03-01 | 2022-04-16 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-03-01 | 2022-04-16 | 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 | 2022-03-01 | 2022-04-16 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-01 | 2022-04-16 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-01 | 2022-04-16 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-03-01 | 2022-04-16 | 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 | 2022-03-01 | 2022-04-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-01 | 2022-04-16 | N |
Provide appropriate foot care. | Health | 2022-03-01 | 2022-04-16 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-01 | 2022-04-16 | 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 | 2022-03-01 | 2022-04-16 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-01 | 2022-04-16 | 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 | 2022-03-01 | 2022-04-16 | N |
Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-03-01 | 2022-04-16 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-01 | 2022-04-16 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-03-01 | 2022-04-16 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-03-01 | 2022-04-16 | 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 | 2022-02-22 | 2022-03-30 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-22 | 2022-03-30 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-02-22 | 2022-03-30 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-11-04 | 2021-01-10 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-11-06 | 2020-12-22 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-11-06 | 2020-12-22 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-11-04 | 2020-12-20 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-11-04 | 2020-12-20 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-11-04 | 2020-12-04 | N |