Deficiency Records for Good Shepherd Home
Updated as of February 01, 2018
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? |
---|---|---|---|---|
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-18 | 2017-06-16 | Y |
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 | 2017-02-16 | 2017-04-05 | 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 | 2017-02-16 | 2017-04-05 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2017-02-16 | 2017-04-05 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-02-16 | 2017-04-05 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-16 | 2017-04-05 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-16 | 2017-04-05 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-02-15 | 2017-04-05 | 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 | 2017-02-15 | 2017-04-05 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-15 | 2017-04-05 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-15 | 2017-04-05 | N |
Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-02-15 | 2017-04-05 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-02-15 | 2017-04-05 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-18 | 2016-10-21 | 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 |
An approved installation, maintenance and testing program for fire alarm systems. | 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 |