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Deficiency Records for Good Shepherd Nursing Home
View the most recent health deficiencies and inspection results for Good Shepherd Nursing Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Good Shepherd Nursing Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-22 | 2025-11-05 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-22 | 2025-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-22 | 2025-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-22 | 2025-09-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-08-22 | 2025-09-30 | 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 | 2025-08-22 | 2025-09-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-08-22 | 2025-09-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-22 | 2025-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-22 | 2025-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-22 | 2025-09-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-08-22 | 2025-09-30 | N |
| 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 | 2025-08-22 | 2025-09-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-08-22 | 2025-09-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-22 | 2025-09-30 | 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 |
| 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 |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-28 | 2023-09-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-28 | 2023-09-05 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-06-28 | 2023-09-05 | 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 |
| Ensure that testing and maintenance of electrical equipment is performed. | 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 smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-30 | 2022-05-23 | N |
| Install an approved automatic sprinkler system. | 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 |