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Deficiency Records for Good Shepherd Village at Endwell
View the most recent health deficiencies and inspection results for Good Shepherd Village at Endwell. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Good Shepherd Village at Endwell. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-11-20 | 2026-04-19 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-11-20 | 2026-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-11-20 | 2026-01-19 | 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 | 2025-11-20 | 2026-01-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-11-20 | 2026-01-19 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-03-21 | 2024-05-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-21 | 2024-05-19 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-03-21 | 2024-05-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-21 | 2024-05-19 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-03-21 | 2024-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-04-05 | 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 | 2024-03-21 | 2024-04-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-03-21 | 2024-04-05 | 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 | 2021-11-10 | 2022-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-10 | 2021-12-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-11-10 | 2021-12-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-10 | 2021-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-10 | 2021-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-10 | 2021-12-21 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-11-10 | 2021-12-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2021-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-10 | 2021-12-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-10 | 2021-12-15 | 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 | 2021-11-10 | 2021-12-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-11-10 | 2021-12-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-10 | 2021-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2021-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-10 | 2021-12-15 | N |
| Keep all essential equipment working safely. | Health | 2021-11-10 | 2021-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-11-20 | Not Fixed | N |