A list of the most recent deficiencies for Good Shepherd Nursing 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-28 | 2023-09-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-28 | 2023-09-08 | 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 | 2023-06-28 | 2023-09-08 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-28 | 2023-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-28 | 2023-09-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-28 | 2023-09-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-28 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-28 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-27 | 2023-09-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-27 | 2023-09-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-27 | 2023-09-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-30 | 2022-05-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-30 | 2022-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-30 | 2022-05-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-03-30 | 2022-05-23 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-03-30 | 2022-05-23 | 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 | 2022-03-30 | 2022-05-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-30 | 2022-05-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-05-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-30 | 2022-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-05-03 | N |
| Post nurse staffing information every day. | Health | 2022-03-30 | 2022-05-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-30 | 2022-05-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-30 | 2022-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-30 | 2022-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-15 | 2019-07-08 | 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 | 2019-05-15 | 2019-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-15 | 2019-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-15 | 2019-07-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-15 | 2019-07-08 | N |
