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Deficiency Records for Goshen Healthcare Community
View the most recent health deficiencies and inspection results for Goshen Healthcare Community. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Goshen Healthcare Community. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-24 | 2025-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-24 | 2025-12-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-02 | 2025-10-22 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| 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 | 2025-07-24 | 2025-09-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2025-07-24 | 2025-09-19 | 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 | 2025-07-24 | 2025-09-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-24 | 2025-09-19 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-24 | 2025-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-24 | 2025-08-26 | 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 | 2025-07-24 | 2025-08-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-07-24 | 2025-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-24 | 2025-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-17 | 2025-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-02-04 | 2025-03-12 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-02-04 | 2025-03-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-04 | 2024-12-19 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-04-18 | 2024-05-17 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-04-18 | 2024-05-17 | 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 | 2024-04-18 | 2024-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-18 | 2024-05-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-18 | 2024-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-18 | 2024-05-17 | 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 | 2024-04-18 | 2024-05-17 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-18 | 2024-05-17 | 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 | 2024-01-23 | 2024-02-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-23 | 2024-02-22 | Y |
| 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 | 2023-12-13 | 2024-01-18 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-09-20 | 2023-10-18 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-09-20 | 2023-10-18 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-01-26 | 2023-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-26 | 2023-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-02-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-01-26 | 2023-02-25 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-26 | 2023-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-26 | 2023-02-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-01-26 | 2023-02-22 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-01-26 | 2023-02-22 | N |
| 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 | 2023-01-26 | 2023-02-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-26 | 2023-02-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-26 | 2023-02-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-26 | 2023-02-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-26 | 2023-02-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-26 | 2023-02-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-26 | 2023-01-25 | N |