Inspection Results » Good Samaritan Society-Quiburi Mission

  1. Health Inspection on February 5, 2018 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-04-30)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-04-30)
      • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-04-30)
      • Provide and implement an infection prevention and control program. (Corrected 2018-04-30)
      • Post nurse staffing information every day. (Corrected 2018-04-30)
      • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-04-30)
      • 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 ne (Corrected 2018-04-30)
      • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-04-30)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-04-30)
      • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2018-04-30)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-30)
      • Respond appropriately to all alleged violations. (Corrected 2018-04-30)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-04-30)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-04-30)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-30)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-04-30)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-04-30)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process