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Deficiency Records for Good Shepherd Village
View the most recent health deficiencies and inspection results for Good Shepherd Village. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Good Shepherd Village. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-05-01 | 2025-07-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-01 | 2025-07-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-01 | 2025-07-03 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-05-01 | 2025-07-02 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-05-01 | 2025-07-02 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-05-01 | 2025-07-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-05-01 | 2025-07-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-01 | 2025-07-02 | N |
| Respond appropriately to all alleged violations. | Health | 2025-05-01 | 2025-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-01 | 2025-07-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-05-01 | 2025-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-01 | 2025-07-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-05-01 | 2025-07-02 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2025-05-01 | 2025-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-01 | 2025-07-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-05-01 | 2025-07-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-01 | 2025-07-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-01 | 2025-07-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-01 | 2025-07-02 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-05-01 | 2025-07-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-01 | 2025-07-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-01 | 2025-07-02 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-05-01 | 2025-07-02 | Y |
| 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 | 2025-05-01 | 2025-07-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-01 | 2025-07-02 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-05-01 | 2025-07-02 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-05-01 | 2025-07-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-01 | 2025-07-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| 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 | 2025-05-01 | 2025-07-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-05-01 | 2025-07-02 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2025-05-01 | 2025-06-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-20 | 2025-04-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-03-20 | 2025-04-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-20 | 2025-04-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-20 | 2025-04-01 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-10 | 2024-04-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-04-10 | 2024-04-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-04-12 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-10 | 2024-02-16 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-01-10 | 2024-02-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-27 | 2023-11-29 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-27 | 2023-11-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-27 | 2023-11-29 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-09-07 | 2023-10-18 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-17 | 2023-10-18 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-07-31 | 2023-10-18 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-31 | 2023-10-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-31 | 2023-10-18 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-31 | 2023-10-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-31 | 2023-10-18 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-31 | 2023-10-18 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-31 | 2023-10-18 | 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 | 2022-12-19 | 2023-02-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-19 | 2023-02-21 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-12-19 | 2023-01-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-19 | 2023-01-16 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-19 | 2023-01-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-23 | 2020-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-23 | 2020-03-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-23 | 2020-03-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-23 | 2020-03-20 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-01-23 | 2020-03-20 | 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 | 2020-01-23 | 2020-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-23 | 2020-03-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-01-23 | 2020-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-23 | 2020-03-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-23 | 2020-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-23 | 2020-03-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-23 | 2020-03-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-23 | 2020-03-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-23 | 2020-03-20 | 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 | 2020-01-23 | 2020-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-23 | 2020-03-20 | N |