Deficiency Records for Good Shepherd Home
Updated as of September 01, 2016
This is not the most recent data for Good Shepherd Home. For the most recent information, click here.
A list of the most recent deficiencies for Good Shepherd Home. 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? |
|---|---|---|---|---|
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-15 | 2016-05-25 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-15 | 2016-05-25 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| Horizontal exits. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| Proper backup exit lighting. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-12-03 | 2016-01-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-12-03 | 2016-01-29 | 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 | 2015-12-03 | 2016-01-29 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-12-03 | 2016-01-29 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-11 | 2015-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-11 | 2015-09-28 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-09-15 | 2014-10-30 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2014-09-15 | 2014-10-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2014-09-15 | 2014-10-30 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2014-09-15 | 2014-10-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-09-11 | 2014-10-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-09-11 | 2014-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-11 | 2014-10-30 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2014-09-11 | 2014-10-30 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2014-09-11 | 2014-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-02-28 | 2014-02-09 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-02-28 | 2014-02-09 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2013-06-06 | 2013-07-19 | N |
| Properly maintained smoke detectors. | Fire Safety | 2013-06-06 | 2013-07-19 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2013-06-06 | 2013-07-19 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2013-06-06 | 2013-07-19 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2013-06-06 | 2013-07-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-06-06 | 2013-07-19 | 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 | 2013-06-06 | 2013-07-19 | 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 | 2013-06-06 | 2013-07-19 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2013-06-06 | 2013-07-19 | N |
