Deficiency Records for Good Shepherd Home
Updated as of August 01, 2019
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? |
---|---|---|---|---|
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-30 | 2019-03-01 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-30 | 2019-03-01 | Y |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-17 | 2018-06-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-17 | 2018-06-07 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-17 | 2018-06-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-17 | 2018-06-07 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-19 | 2018-06-07 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-04-19 | 2018-06-07 | 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 | 2018-04-19 | 2018-06-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-06-07 | N |
Provide and implement an infection prevention and control program. | Health | 2018-04-19 | 2018-06-07 | N |
Implement a program that monitors antibiotic use. | Health | 2018-04-19 | 2018-06-07 | N |
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 |
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 |