Inspection Results » Good Shepherd Village

Health Inspection on December 6, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to manage his or her financial affairs. (Corrected 2019-01-11)
   • 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. (Corrected 2019-01-11)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Provide and implement an infection prevention and control program. (Corrected 2019-01-11)
   • Implement a program that monitors antibiotic use. (Corrected 2019-01-11)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-01-11)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-01-11)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-01-11)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-01-11)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-01-11)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-11)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-01-11)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-01-11)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-01-11)

3. Widespread: No actual harm with potential for minimal harm

   • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2019-01-11)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-01-11)