Deficiency Records for Good Samaritan Society - Fairfield Glade
Updated as of March 01, 2024
A list of the most recent deficiencies for Good Samaritan Society - Fairfield Glade. 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? |
|---|---|---|---|---|
| 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 | 2023-05-01 | 2023-06-15 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-05-01 | 2023-06-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-01 | 2023-06-15 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-01 | 2023-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-01 | 2023-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-01 | 2023-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-01 | 2023-06-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-01 | 2023-06-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-03 | 2023-06-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-03 | 2023-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-03 | 2023-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-03 | 2023-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-03 | 2023-06-06 | 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 | 2023-05-03 | 2023-06-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-03 | 2023-06-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-03 | 2023-06-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-06 | 2023-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-05-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-15 | 2022-04-08 | 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 | 2022-03-15 | 2022-04-08 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-15 | 2022-04-08 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-11-12 | 2019-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-12 | 2019-12-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-14 | 2019-12-02 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-11-14 | 2019-12-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-10-01 | 2018-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-03 | 2018-11-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-11-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-03 | 2018-11-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-03 | 2018-11-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-03 | 2018-10-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-01 | 2018-10-08 | N |
