Deficiency Records for Good Shepherd Village at Endwell
Updated as of April 01, 2019
This is not the most recent data for Good Shepherd Village at Endwell. For the most recent information, click here.
A list of the most recent deficiencies for Good Shepherd Village at Endwell. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2017-11-21 | 2018-01-19 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-11-21 | 2018-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-11-21 | 2018-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-21 | 2018-01-19 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-11-21 | 2018-01-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-11-21 | 2018-01-19 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-21 | 2017-12-21 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-08-04 | 2016-09-30 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-08-05 | 2016-09-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-08-05 | 2016-09-16 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2016-08-05 | 2016-09-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-05 | 2016-09-16 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-06-10 | 2015-08-10 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-06-10 | 2015-08-10 | 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 | 2015-06-11 | 2015-08-10 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-06-11 | 2015-08-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-06-11 | 2015-08-10 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2015-06-11 | 2015-08-10 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-06-11 | 2015-08-10 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-06-11 | 2015-08-10 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-06-11 | 2015-08-10 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2015-06-11 | 2015-08-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-06-11 | 2015-08-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-06-11 | 2015-08-10 | N |
