Deficiency Records for Good Shepherd Home
Updated as of October 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 |
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 |
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 |
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 |
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 |
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 |
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 |